Belleville Villas, LLC - Belleville Operation Series
NPI #1326866591 in Belleville, Illinois
Provider Information
- NPI Number
- 1326866591
- Entity Type
- Organization
- Organization Name
- Belleville Villas, LLC - Belleville Operation Series
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BELLEVILLE VILLAS, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Sep 27, 2024
- Last Updated
- Sep 27, 2024
Practice Location
- Address
- 4350 FRANK SCOTT PKWY W
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62223-6810
- Phone
- (618) 744-0231
Authorized Official
- Name
- MR. RANDY PORTER, CFO
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (217) 345-5022
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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