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Organization

BONAN BROTHERS PROPERTIES PROJECT #2, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KIM IOERGER RN (SENIOR ADMINISTRATOR)
(618) 533-5278
Entity
Organization

Contact information

Practice address
2047 E MCCORD ST, CENTRALIA, IL 62801-6782
(618) 533-5278
(618) 533-4406
Mailing address
2047 E MCCORD ST, CENTRALIA, IL 62801-6782
(618) 533-5278
(618) 533-4406

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
IL

Other

Enumeration date
07/05/2007
Last updated
08/22/2020
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