Organization
BONAN BROTHERS PROPERTIES PROJECT #3 LLC
Active
Other names
Heritage Woods of Centralia
Organization subpart
No
Provider details
NPI number
Authorized official
KIM IOERGER (RN/SENIOR ADMINISTRATOR)
(618) 532-4590
Entity
Organization
Contact information
Practice address
2049 E MCCORD ST, CENTRALIA, IL 62801-6727
(618) 532-4590
Mailing address
2049 E MCCORD ST, CENTRALIA, IL 62801-6727
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/15/2008
Last updated
06/16/2008
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