NPI 1427186451

Stonebridge Senior Living Center, LLC

Organisation Skilled Nursing Facility Benton, IL

Practice location

Address: 902 S McLeansboro St, Benton, IL 62812-3413
Phone: (618) 439-4501
Fax: (618) 435-3141
Mailing address: 902 S McLeansboro St PO Box 968, Benton, IL 62812-3413

Authorised official

Name: Scott E. Stout
Title: Manager
Phone: (618) 713-5284

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 0051888 (IL)

Other Skilled Nursing Facility providers in Illinois →

Registry record

NPI: 1427186451
Entity type: Organization
NPI issued: 1 Mar 2007
Record last updated: 14 Feb 2017

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.