Organization
JOHN C. PROCTOR ENDOWMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN G SAHN (ADMINISTRATOR/CEO)
(309) 685-6580
Entity
Organization
Contact information
Practice address
2724 W RESERVOIR BLVD, PEORIA, IL 61615-4137
(309) 566-4292
Mailing address
2724 W RESERVOIR BLVD, PEORIA, IL 61615-4137
(309) 566-4292
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1810084
IL
Other
Enumeration date
05/28/2008
Last updated
05/28/2008
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