NPI 1225310246

Lutheran Retirement Center Association

Organisation Skilled Nursing Facility Springfield, IL

Practice location

Address: 4101 W Iles Ave, Springfield, IL 62711-7051
Phone: (217) 793-9429
Fax: (217) 793-1333

Authorised official

Name: Chadwick Sneed
Title: Sr Vice President of Finance
Phone: (314) 968-9313

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 0051078 (IL)

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Registry record

NPI: 1225310246
Entity type: Organization
NPI issued: 15 Sep 2011
Record last updated: 25 Aug 2020

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.