| Organization Name: | HEARTLAND-RIVERVIEW OF EAST PEORIA IL (SNF) LLC |
| NPI Number: | 1407893977 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BARRY A LAZARUS (VICE PRESIDENT - REIMBURSEMENTS) |
| Mailing Address: | 500 Centennial Dr East Peoria |
| State: | IL US |
| Postal Code: | 616114912 |
| Phone Number: | 3096949865 |
| Fax Number: | 3096992192 |
| NPI Enumeration Date: | 06/01/2006 |
| NPI Last Update Date: | 10/13/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |