Organization
ASTA CARE CENTER OF BLOOMINGTON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SETH GILLMAN (MEMBER)
(309) 827-6046
Entity
Organization
Contact information
Practice address
1509 N CALHOUN, BLOOMINGTON, IL 61704
(309) 827-6046
(309) 829-1992
Mailing address
1509 N CALHOUN, BLOOMINGTON, IL 61704
(309) 827-6046
(309) 829-1992
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0042283
IL
Other
Enumeration date
11/09/2005
Last updated
08/22/2020
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