Emerald Glen Management

NPI #1104012129 in Staunton, Illinois

Provider Information

NPI Number
1104012129
Entity Type
Organization
Organization Name
Emerald Glen Management
Primary Specialty
Assisted Living Facility
Enumeration Date
Sep 24, 2007
Last Updated
Sep 24, 2007

Practice Location

Address
18192 RENKEN ROAD
ZIP Code
62088
Phone
(618) 635-4012

Authorized Official

Name
SHELLEY C NUELLE
Title
DIRECTOR OF OPERATIONS
Phone
(217) 821-9539

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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