NPI 1386925535
Terrace on the Park, LLC
Practice location
- Address
- 901 N 10th St, Mascoutah, IL 62258-1017
- Phone
- (618) 566-2183
- Fax
- (618) 566-4462
Authorised official
- Name
- Moshe David Aryeh
- Title
- Member/Manager
- Phone
- (847) 440-2233
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1386925535
- Entity type
- Organization
- NPI issued
- 1 Sep 2011
- Record last updated
- 22 Jun 2015
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.