Organization
222 STATE STREET PROPERTIES, LLC
Active
Other names
Eden Champaign
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CROSS (EXECUTIVE DIRECTOR)
(217) 903-5900
Entity
Organization
Contact information
Practice address
222 N STATE ST, CHAMPAIGN, IL 61820-3937
(217) 903-5900
(217) 378-6829
Mailing address
222 N STATE ST, CHAMPAIGN, IL 61820-3937
(217) 903-5900
(217) 378-6829
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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