Organization
LTC ILLINOIS - FRIENDSHIP, INC.
Active
Other names
FRIENDSHIP HOUSE OF CENTRALIA
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LOUANN ANSTIS (PRIVACY OFFICER)
(770) 619-0866
Entity
Organization
Contact information
Practice address
1000 MARTIN LUTHER KING, CENTRALIA, IL 62801
(618) 532-3642
(618) 533-3739
Mailing address
925 N POINT PKWY, SUITE 440, ALPHARETTA, GA 30005-5210
(770) 619-0866
(770) 870-2892
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0045682
IL
Other
Enumeration date
07/10/2006
Last updated
08/04/2008
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