Fireside-Ltc, LLC
Fireside-Ltc, LLC is a Skilled Nursing Facility in Centralia, Illinois. Registered with an NPI since 2011.
- In the registry since
- 2011
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1030 Martin Luther King DrCentralia, IL 62801-3002
Phone: (678) 522-2436
Fax: (770) 663-4539
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X |
|---|
Record details
| NPI number | 1346526134 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Daren Douston — Member Cfo · (678) 522-2436 |
| Other names | Fireside House Of Centralia |
| NPI enumerated | October 25, 2011 |
| Last updated in NPPES | November 10, 2011 |
| Mailing address | 10945 State Bridge Rd, Suite 401-470, Alpharetta, GA 30022-8164 |
Other providers in Centralia
-
Friendship-Ltc, LLC
1000 Martin Luther King Dr, Centralia, IL 62801-3002 · (678) 522-2436
-
Hcc-Healthcare Properties, LLC
1030 Martin Luther King Dr, Centralia, IL 62801-3002 · (618) 532-1308
-
Ltc Illinois - Friendship, Inc
1000 Martin Luther King, Centralia, IL 62801 · (618) 532-3642
-
Ltc of Illinois - Fireside, Inc
1030 Martin Luther King Dr, Centralia, IL 62801-3002 · (618) 532-1833