Gahcr II Staunton Alf Trs Sub, LLC

NPI #1639582737 in Staunton, Illinois

Provider Information

NPI Number
1639582737
Entity Type
Organization
Organization Name
Gahcr II Staunton Alf Trs Sub, LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Jun 5, 2014
Last Updated
Jun 10, 2014

Practice Location

Address
18192 RENKEN RD
ZIP Code
62088-2334
Phone
(618) 635-4012

Authorized Official

Name
DANNY PROSKY
Title
PRESIDENT
Phone
(949) 270-9200

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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