NPI 1255767166

Lavender Ridge INC

Organisation Alzheimer Center (Dementia Center) Effingham, IL

Practice location

Address: 1103 N Maple St, Effingham, IL 62401-1793
Phone: (217) 342-4150
Fax: (217) 342-4199

Authorised official

Name: Keesha Wood-Smith
Title: Regional Director
Phone: (217) 342-4150

Registered specialties

Alzheimer Center (Dementia Center) Primary

Nursing & Custodial Care Facilities Taxonomy 311500000X

Other Alzheimer Center (Dementia Center) providers in Illinois →

Registry record

NPI: 1255767166
Entity type: Organization
NPI issued: 24 Sep 2013
Record last updated: 24 Sep 2013

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.