Organization
BEARDSTOWN SUPPORTIVE LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAI BERDUGO (AUTHORIZED OFFICIAL)
(217) 323-1860
Entity
Organization
Contact information
Practice address
8570 SAINT LUKES DR, BEARDSTOWN, IL 62618-9200
(217) 323-1860
Mailing address
575 ROUTE 70, BRICK, NJ 08723-4042
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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