Organization
CARLYLE HEALTHCARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER ANDREW REIS LNHA (VICE-PRESIDENT)
(618) 594-3112
Entity
Organization
Contact information
Practice address
501 CLINTON ST, CARLYLE, IL 62231-1503
(618) 594-3112
(618) 594-2393
Mailing address
501 CLINTON ST, CARLYLE, IL 62231-1503
(618) 594-3112
(618) 594-2393
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
—
—
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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