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Organization

SPRINGFIELD TERRACE, LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MELVIN SIEGEL (PRESIDENT)
(847) 679-0100
Entity
Organization

Contact information

Practice address
525 S MARTIN LUTHER KING JR DR, SPRINGFIELD, IL 62703-1317
(217) 789-1680
(217) 789-0842
Mailing address
525 S MARTIN LUTHER KING JR DR, SPRINGFIELD, IL 62703-1317
(217) 789-1680
(217) 789-0842

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
0032961
IL

Other

Enumeration date
07/08/2005
Last updated
08/22/2020
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