Organization
TERRACE ON THE PARK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOSHE DAVID ARYEH (MEMBER/MANAGER)
(847) 440-2233
Entity
Organization
Contact information
Practice address
901 N 10TH ST, MASCOUTAH, IL 62258-1017
(618) 566-2183
(618) 566-4462
Mailing address
901 N 10TH ST, MASCOUTAH, IL 62258-1017
(618) 566-2183
(618) 566-4462
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/01/2011
Last updated
06/22/2015
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