Organization
EASTVIEW TERRACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET REEDY LPN (CAREPLAN COORDINATOR)
(217) 728-7367
Entity
Organization
Contact information
Practice address
100 EASTVIEW PL, SULLIVAN, IL 61951-1674
(217) 728-7367
(217) 728-2112
Mailing address
100 EASTVIEW PL, SULLIVAN, IL 61951-1674
(217) 728-7367
(217) 728-2112
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0046060
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371346306007
—
IL
Enumeration date
10/06/2005
Last updated
08/22/2020
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