Organization
VANDALIA TERRACE, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MELVIN SIEGEL (PRESIDENT)
(847) 679-0100
Entity
Organization
Contact information
Practice address
1610 HILLSBORO RD, VANDALIA, IL 62471-3221
(618) 283-1434
(618) 283-2174
Mailing address
1610 HILLSBORO RD, VANDALIA, IL 62471-3221
(618) 283-1434
(618) 283-2174
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
0037309
IL
Other
Enumeration date
07/08/2005
Last updated
06/19/2008
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