Organization
OAK TERRACE HEALTHCARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELLY E SMITH (OWNER OPERATOR)
(913) 362-4942
Entity
Organization
Contact information
Practice address
1750 W WASHINGTON ST, SPRINGFIELD, IL 62702-4759
(217) 787-6466
(217) 787-6846
Mailing address
1750 W WASHINGTON ST, SPRINGFIELD, IL 62702-4759
(217) 787-6466
(217) 787-6846
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
0023010
IL
Other
Enumeration date
03/21/2007
Last updated
06/26/2008
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