Organization
RIDGEVIEW CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARAH BETH GRIESEMER M.H.A./L.N.H.A (ADMINISTRATOR)
(618) 592-4228
Entity
Organization
Contact information
Practice address
413 RIDGE LN, OBLONG, IL 62449-1635
(618) 592-4228
(618) 592-3026
Mailing address
413 RIDGE LN, OBLONG, IL 62449-1635
(618) 592-4228
(618) 592-3026
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0026021
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370842650
—
IL
Enumeration date
04/23/2012
Last updated
04/23/2012
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