Organization
RIDGEVIEW CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH GRIESEMER LNHA, MHA (ADMINISTRATOR)
(618) 592-4228
Entity
Organization
Contact information
Practice address
413 RIDGE LN, OBLONG, IL 62449-1635
(618) 592-4228
(618) 592-3026
Mailing address
413 RIDGE LN, OBLONG, IL 62449-1635
(618) 592-4228
(618) 592-3026
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0051912
IL
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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