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1184820748
MATTOON ESTATES NORTH, LLC
MATTOON, IL
NPI
1184820748
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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
2008-05-13
Business Address
MATTOON ESTATES NORTH, LLC
1920 BROOKSTONE LN
MATTOON, IL 61938-6105
Phone number: 217-235-5881
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Mailing Address
MATTOON ESTATES NORTH, LLC
78 CENTENNIAL LOOP
EUGENE, OR 97401-7900
Phone number: 541-747-3373
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