Organization
COUNTY OF PEORIA
Active
Other names
Heddington Oaks
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI CURTIS LUTHER (COUNTY ADMINISTRATOR)
(309) 672-6056
Entity
Organization
Contact information
Practice address
2223 W HEADING AVE, WEST PEORIA, IL 61604-5139
(309) 636-3600
(309) 636-3610
Mailing address
324 MAIN ST, ROOM 501, PEORIA, IL 61602-2331
(309) 677-6233
(309) 495-4608
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1737473
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069333049001
—
IL
Enumeration date
12/11/2006
Last updated
10/16/2013
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