NPI 1114460839
East Peoria Nh LLC
Practice location
- Address
- 900 Centennial Dr, East Peoria, IL 61611-4928
- Phone
- (309) 699-5400
- Fax
- (309) 699-1632
Authorised official
- Name
- James Mason
- Title
- President
- Phone
- (813) 347-7425
Registered specialties
Nursing Facility/Intermediate Care Facility
Primary
Registry record
- NPI
- 1114460839
- Entity type
- Organization
- NPI issued
- 29 Nov 2016
- Record last updated
- 25 Jun 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.