Organization
MERIDIAN VILLAGE ASSOCIATION
Active
Other names
Meridian Village Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHADWICK SNEED (SR VICE PRESIDENT OF FINANCE)
(314) 968-9313
Entity
Organization
Contact information
Practice address
27 AUERBACH PLACE, GLEN CARBON, IL 62034
(618) 288-3700
Mailing address
1150 HANLEY INDUSTRIAL CT, SAINT LOUIS, MO 63144-1910
(314) 968-9313
(314) 968-5590
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1957652
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371415587001
—
IL
Enumeration date
02/22/2010
Last updated
08/25/2020
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