Emerald Glen Managment

NPI 1093900425 - Assisted Living Facility - 310400000X

NPI Details
NPI 1093900425
Enumeration Date 09/10/2007
Last Updated 09/10/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SHELLEY C SHELLEY
Position DIRECTOR OF OPERATIONS
Phone (618) 664-9012
Fax
Practice Location
605 DEWEY ST
GREENVILLE IL, 62246-2296, US
Phone (618) 664-9012
Fax
Business Location
PO BOX 771
EFFINGHAM IL, 62401-0771, US
Phone
Fax
Toxanomy
Taxonomy Code 310400000X
License State
License Number
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According to our database, Emerald Glen Managment NPI is 1093900425, taxonomy code is 310400000X Emerald Glen Managment physically located at 605 Dewey St, Greenville IL, 62246-2296. NPI Number 1033115704 has the healthcare provider type.

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1093900425 NPI number is provided on an as is basis without warranty of any kind. 1093900425 is maintained by the National Plan & Provider Enumeration System. The contents of Emerald Glen Managment are for informational purposes only.