EAGLE RIDGE OF DECATUR LP NPI 1316069099

NPI Information

EAGLE RIDGE OF DECATUR, LP is an assisted living facility in Decatur, IL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. EAGLE RIDGE OF DECATUR, LP NPI is 1316069099. The provider is registered as an organization entity type.
The provider Other Name Is Bma Management.

The provider's business location address is:

875 W MCKINLEY AVE
DECATUR, IL
ZIP 62526-287
Phone: (217) 872-1282
Fax: (217) 872-1227

The provider's authorized official is Sandra K Barton .
The authorized official title is Administrator and has the following contact phone number (217) 872-1282.

The CLIA number assigned to this NPI record is 14D2197670 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/4/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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