NPI 1659497774

Oak Terrace Healthcare Center, INC.

Organisation Nursing Facility/Intermediate Care Facility Springfield, IL

Practice location

Address: 1750 W Washington St, Springfield, IL 62702-4759
Phone: (217) 787-6466
Fax: (217) 787-6846

Authorised official

Name: Kelly E Smith
Title: Owner Operator
Phone: (913) 362-4942

Registered specialties

Nursing Facility/Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 0023010 (IL)

Other Nursing Facility/Intermediate Care Facility providers in Illinois →

Registry record

NPI: 1659497774
Entity type: Organization
NPI issued: 21 Mar 2007
Record last updated: 26 Jun 2008

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.