Organization
RED BUD ILLINOIS HOSPITAL COMPANY LLC
Active
Parent organization
RED BUD ILLINOIS HOSPITAL COMPANY LLC
Other names
Red Bud Nursing Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
RED BUD ILLINOIS HOSPITAL COMPANY LLC
Authorized official
RANDY MICHAEL COOPER (SVP FINANCE OP/AUTHORIZED OFFICIAL)
(615) 221-3840
Entity
Organization
Contact information
Practice address
350 W SOUTH 1ST ST, RED BUD, IL 62278-1116
(618) 282-3891
(618) 282-4070
Mailing address
PO BOX 503891, SAINT LOUIS, MO 63150-3891
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
0045476
IL
Other
Enumeration date
03/20/2006
Last updated
08/11/2020
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