Organization
HELIA HEALTHCARE OF EFFINGHAM, LLC
Active
Other names
EVERGREEN NURSING AND REHABILITATION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JASON MILLS (CFO)
(314) 317-2003
Entity
Organization
Contact information
Practice address
1115 N WENTHE, EFFINGHAM, IL 62401
(217) 347-7121
(217) 342-5525
Mailing address
500 NW PLAZA DR STE 712, SAINT ANN, MO 63074-2222
(314) 566-0459
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200089842001
—
IL
Enumeration date
11/06/2006
Last updated
03/18/2024
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