Phillips Warner Realty, LLC - Monticello Operation Series

NPI #1033938295 in Monticello, Illinois

Provider Information

NPI Number
1033938295
Entity Type
Organization
Organization Name
Phillips Warner Realty, LLC - Monticello Operation Series
Subpart
Yes (part of a larger organization)
Parent Organization
PHILLIPS WARNER REALTY, LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Oct 5, 2024
Last Updated
Oct 7, 2024

Practice Location

Address
901 MEDICAL CENTER DR
ZIP Code
61856-2144
Phone
(217) 631-1136

Authorized Official

Name
RANDY PORTER, CFO
Title
CHIEF FINANCIAL OFFICER
Phone
(217) 345-5022

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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