Organization
EVERGREEN NURSING AND REHAB CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY E STROISCH (DIR OF FIN SERV)
(217) 528-2244
Entity
Organization
Contact information
Practice address
1115 N WENTHE DR, EFFINGHAM, IL 62401-1612
(217) 347-7121
Mailing address
1625 S 6TH ST, SPRINGFIELD, IL 62703-2828
(217) 528-2244
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
10/14/2008
Last updated
10/14/2008
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