OrganizationActive
Bonan Brothers Properties Project #2, LLC
NPI 1487852083 · Assisted Living Facility · Centralia, IL
Provider details
- NPI number
- 1487852083
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Authorized official
- Kim Ioerger, Senior Administrator
Practice location
2047 E Mccord St
Centralia, IL 62801-6782
Phone: (618) 533-5278
Fax: (618) 533-4406
Mailing address
2047 E Mccord St
Centralia, IL 62801-6782
Registry dates
- Enumerated
- 2007-07-05
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.