NPI 1649098815

Keystone Alf, LLC - Harrisburg Operations Series

Organisation Assisted Living Facility Harrisburg, IL

Practice location

Address: 220 Ron Crank Dr, Harrisburg, IL 62946-3915
Phone: (618) 252-9218
Mailing address: 2402 18th St, Charleston, IL 61920-4343

Authorised official

Name: Randy Porter
Title: Chief Financial Officer
Phone: (217) 345-5022

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1649098815
Entity type: Organization
NPI issued: 27 Sep 2024
Record last updated: 27 Sep 2024

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.