Organization
THE ESTATES OF PERRYVILLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TUVIYAH SPECTOR (MANAGING MEMBER)
(773) 322-0387
Entity
Organization
Contact information
Practice address
430 N WEST ST, PERRYVILLE, MO 63775-1359
(573) 547-1011
Mailing address
2917 W GREENLEAF AVE, CHICAGO, IL 60645-2915
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/21/2014
Last updated
10/22/2014
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