NPI 1184820755

Brookstone Estates of Harrisburg, LLC

Organisation Point of Service Harrisburg, IL

Practice location

Address: 165 Ron Morse Dr, Harrisburg, IL 62946-5298
Phone: (618) 253-5870
Fax: (618) 253-5871
Mailing address: 78 Centennial Loop, Eugene, OR 97401-7900

Authorised official

Name: John Holtz
Title: Controller
Phone: (541) 747-3373

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X

Other Point of Service providers in Illinois →

Registry record

NPI: 1184820755
Entity type: Organization
NPI issued: 21 Jun 2007
Record last updated: 14 May 2008

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.