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1407052079
CHARLESTON ESTATES, LLC
CHARLESTON, IL
NPI
1407052079
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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
CHARLESTON ESTATES, LLC
300 LINCOLN HIGHWAY RD
CHARLESTON, IL 61920-3884
Phone number: 217-348-6500
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Mailing Address
CHARLESTON ESTATES, LLC
78 CENTENNIAL LOOP
EUGENE, OR 97401-7900
Phone number: 541-747-3373
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