Organization
GALESBURG TERRACE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ETHEL Z LOGUE (ADMINISTRATOR)
(309) 342-2103
Entity
Organization
Contact information
Practice address
1145 FRANK ST, GALESBURG, IL 61401-2421
(309) 342-2103
(309) 342-1819
Mailing address
1145 FRANK ST, GALESBURG, IL 61401-2421
(309) 342-2103
(309) 342-1819
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0042317
IL
Other
Enumeration date
01/25/2006
Last updated
02/09/2009
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