Organization
NORTHEASTERN NURSING & REHABILITATION CENTER LLC
Active
Other names
Willowbrooke Nursing & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT G HEDGES (MANAGING MEMBER OF LLC)
(217) 528-2244
Entity
Organization
Contact information
Practice address
2600 REDMAN RD, SAINT LOUIS, MO 63136-5863
(314) 355-8585
(314) 355-4645
Mailing address
1625 S 6TH ST, SPRINGFIELD, IL 62703-2828
(217) 528-2244
(217) 528-3412
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/08/2009
Last updated
03/01/2010
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