Organization
NORTH LOGAN HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLAIRE JANE MATHENY ADMINISTATOR (ADMINISTRATOR)
(217) 443-3106
Entity
Organization
Contact information
Practice address
801 N LOGAN AVE, DANVILLE, IL 61832-3715
(217) 443-3106
(217) 443-3187
Mailing address
801 N LOGAN AVE, DANVILLE, IL 61832-3715
(217) 443-3106
(217) 443-3184
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0046532
IL
Other
Enumeration date
08/05/2009
Last updated
08/05/2009
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