Wc- Olney Eg Ops, LLC

NPI #1164810420 in Olney, Illinois

Provider Information

NPI Number
1164810420
Entity Type
Organization
Organization Name
Wc- Olney Eg Ops, LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Jan 8, 2015
Last Updated
Jan 8, 2015

Practice Location

Address
1301 N EAST ST
City
Olney
ZIP Code
62450-2430
Phone
(618) 395-4663

Authorized Official

Name
MS. STEPHANIE ERVIN
Title
BUSINESS OFFICE MANAGER
Phone
(618) 395-4663

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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