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1013113687
VANDALIA ESTATES, LLC
VANDALIA, IL
NPI
1013113687
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Entity Type
Organization
Authorized Contact
JOHN HOLTZ
Controller
541-747-3373
Organization Subpart ?
No
Primary Taxonomy
305S00000X Point of Service
Enumeration Date
2007-06-21
Last Update Date
2008-05-14
Business Address
VANDALIA ESTATES, LLC
1607 W FILLMORE ST
VANDALIA, IL 62471-3112
Phone number: 618-283-9825
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Mailing Address
VANDALIA ESTATES, LLC
78 CENTENNIAL LOOP
EUGENE, OR 97401-7900
Phone number: 541-747-3373
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