Organization
PEORIA NH LLC
Active
Other names
River Crossing of Peoria
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MASON (PRESIDENT)
(813) 347-7425
Entity
Organization
Contact information
Practice address
1500 W NORTHMOOR RD, PEORIA, IL 61614-3435
(309) 691-2200
(309) 691-1548
Mailing address
1500 W NORTHMOOR RD, PEORIA, IL 61614-3435
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/01/2016
Last updated
06/25/2021
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