Organization
PARIS HEALTH CARE CENTER INVESTORS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LESTER ROBERTSON (ADMINISTRATOR)
(217) 465-5376
Entity
Organization
Contact information
Practice address
1011 N MAIN ST, PARIS, IL 61944-1145
(217) 465-5376
(217) 465-8106
Mailing address
1011 N MAIN ST, PARIS, IL 61944-1145
(217) 465-5376
(217) 465-8106
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0046565
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871646133
MEDICARE NPI
IL
05
—
830362033001
—
IL
01
—
830362033801
MEDICAID OXYGEN
IL
Enumeration date
08/18/2009
Last updated
08/18/2009
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