Organization
SANGAMON CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN P MILLER (PRINCIPAL)
(312) 994-2306
Entity
Organization
Contact information
Practice address
2800 W LAWRENCE AVE, SPRINGFIELD, IL 62704-1016
(217) 787-1955
Mailing address
2800 W LAWRENCE AVE, SPRINGFIELD, IL 62704-1016
(217) 787-1955
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0045658
IL
Other
Enumeration date
03/02/2007
Last updated
08/22/2020
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