Bonan Brothers Properties Project #2, LLC
Organization Active NPI Assisted Living Facility · Centralia, IL
NPI 1487852083 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1487852083
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- BONAN BROTHERS PROPERTIES PROJECT #2, LLC
- Practice address
- 2047 E McCord St
Centralia, IL 62801-6782 - Phone
- (618) 533-5278
- Fax
- (618) 533-4406
- NPI assigned
- Jul 5, 2007
- Organization subpart
- No
Authorized official
- Name
- Ms. Kim Ioerger, RN
- Title
- Senior Administrator
- Phone
- (618) 533-5278
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | IL | Yes |
Addresses
Primary practice location
2047 E McCord St
Centralia, IL 62801-6782
Mailing address
2047 E McCord St
Centralia, IL 62801-6782
Phone (618) 533-5278
Other providers in Centralia, IL
- Bernard Rerri
- Elizabeth Ann Biagi III
- Michael Bird
- Blue Angels EMS Inc
- Agnes Boehning
- Bonan Brothers Properties Project #3 LLC
- Katherine A Bookhout
- Adam Borges
- Megan Borland
- Stephanie Bowdler
All providers in Centralia, IL · Assisted Living Facility in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.