Organization
BEULAH LAND CHRISTIAN HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD WALBERT (VICE PRESIDENT OF FINANCE)
(217) 732-5128
Entity
Organization
Contact information
Practice address
201 E FALCON HWY, FLANAGAN, IL 61740-9108
(815) 796-2267
(815) 796-4434
Mailing address
201 E FALCON HWY, FLANAGAN, IL 61740-9108
(815) 796-2267
(815) 796-4434
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0006767
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371080266001
—
IL
Enumeration date
07/14/2006
Last updated
08/22/2020
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