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1437782612
WESTSIDE HCO, LLC
WEST FRANKFORT, IL
NPI
1437782612
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Entity Type
Organization
Authorized Contact
MARK B. PETERSEN
Manager
309-691-8113
Organization Subpart ?
No
Primary Taxonomy
314000000X Skilled Nursing Facility
Enumeration Date
2020-02-17
Last Update Date
2020-05-13
Business Address
WESTSIDE HCO, LLC
601 N COLUMBIA ST
WEST FRANKFORT, IL 62896-1859
Phone number: 618-932-2109
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Mailing Address
WESTSIDE HCO, LLC
830 W TRAILCREEK DR
PEORIA, IL 61614-1862
Phone number: 309-689-5880
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