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Organization

CHARLESTON HCO LLC

Active
Other names
Charleston Rehab & Health Care Center
Organization subpart
No

Provider details

NPI number
Authorized official
MARIKAY SNYDER (GENERAL COUNSEL)
(309) 689-5880
Entity
Organization

Contact information

Practice address
716 18TH ST, CHARLESTON, IL 61920-2382
(217) 345-7054
Mailing address
830 W TRAILCREEK DR, PEORIA, IL 61614-1862

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Enumeration date
12/23/2019
Last updated
12/31/2019
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