Organization
UDI 7
Active
Other names
Seminary Manor
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL E HILTEN (BOOKKEEPER)
(309) 344-1300
Entity
Organization
Contact information
Practice address
2345 N SEMINARY ST, GALESBURG, IL 61401
(309) 344-1300
(309) 344-2473
Mailing address
2345 N SEMINARY ST, GALESBURG, IL 61401
(309) 344-1300
(309) 344-2473
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363114893007
—
IL
01
—
5443
BLUE CROSS BLUE SHIELD
—
Enumeration date
04/02/2008
Last updated
04/02/2008
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