Glenhaven Gardens Of Alton L.l.c.

NPI 1013168202 - Assisted Living Facility - 310400000X

NPI Details
NPI 1013168202
Enumeration Date 10/06/2008
Last Updated 05/18/2016
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name DAVID DAVID
Position EXEC VP & CFO
Phone (618) 462-1500
Fax
Practice Location
100 GLENHAVEN DR
ALTON IL, 62002-6700, US
Phone (618) 462-1500
Fax
Business Location
115 W JEFFERSON ST.
SUITE 401
BLOOMINGTON IL, 61701, US
Phone (309) 828-4361
Fax
Toxanomy
Taxonomy Code 310400000X
License State Illinois
License Number =========6220201
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According to our database, Glenhaven Gardens Of Alton L.l.c. NPI is 1013168202, taxonomy code is 310400000X and license number is =========6220201, license state is located at Illinois. Glenhaven Gardens Of Alton L.l.c. physically located at 100 Glenhaven Dr, Alton IL, 62002-6700. NPI Number 1033115704 has the healthcare provider type.

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1013168202 NPI number is provided on an as is basis without warranty of any kind. 1013168202 is maintained by the National Plan & Provider Enumeration System. The contents of Glenhaven Gardens Of Alton L.l.c. are for informational purposes only.