NPI 1871877597

Gowin Enterprises INC

Organisation Alzheimer Center (Dementia Center) Mattoon, IL

Practice location

Address: 300 Lerna Rd S, Mattoon, IL 61938-9389
Phone: (217) 234-3003
Fax: (217) 234-3081
Mailing address: 6484 N County Road 1320e, Charleston, IL 61920-7952

Authorised official

Name: Theresa Suzanne Gowin
Title: President
Phone: (217) 234-3003

Registered specialties

Alzheimer Center (Dementia Center) Primary

Nursing & Custodial Care Facilities Taxonomy 311500000X Licence 5103061 (IL)

Other Alzheimer Center (Dementia Center) providers in Illinois →

Registry record

NPI: 1871877597
Entity type: Organization
NPI issued: 29 Sep 2011
Record last updated: 29 Sep 2011

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.