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Grand Victorian Of Sterling Master Lessee, Llc
Point of Service in Sterling, Illinois
NPI 1558512723

Grand Victorian Of Sterling Master Lessee, Llc is a Point of Service based in Eugene, IL. Grand Victorian Of Sterling Master Lessee, Llc practices in Sterling, IL. The NPI Number for Grand Victorian Of Sterling Master Lessee, Llc is 1558512723 and holds a License No. (Illinois).

The current practice location address for Grand Victorian Of Sterling Master Lessee, Llc is 2705 Avenue E, Sterling, IL and can be reached out via phone at 815-622-2800 and via fax at 815-622-2801. You can also correspond with Grand Victorian Of Sterling Master Lessee, Llc through the mailing address at 78 CENTENNIAL LOOP, EUGENE, OR - 97401-7900 (mailing address contact number: 541-747-3373).

Location: 2705 Avenue E, Sterling, IL, 97401-7900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558512723
Provider Name
Grand Victorian Of Sterling Master Lessee, Llc
Credential
Provider Entity Type
Organization
Address
2705 Avenue E, Sterling, IL, 97401-7900
Phone Number
815-622-2800
Fax Number
815-622-2801
Provider Enumeration Date
10/07/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2705 Avenue E
City
Sterling
State
Illinois
Zip
61081-9016
Phone Number
815-622-2800
Fax Number
815-622-2801
person
Provider Business Mailing Address Details
Address
78 Centennial Loop
City
Eugene
State
Oregon
Zip
97401-7900
Phone Number
541-747-3373
Fax Number
541-868-8447
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
()
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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