Organization
ACCOLADE HEALTHCARE OF BLOOMINGTON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOSHE FREEDMAN (MANAGER)
(309) 827-8004
Entity
Organization
Contact information
Practice address
700 E WALNUT ST, BLOOMINGTON, IL 61701-3244
(309) 827-8004
Mailing address
9433 OLIVE BLVD # 100, SAINT LOUIS, MO 63132-3132
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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