Springfield Supportive Living
NPI #1821129974 in Springfield, Illinois
Provider Information
- NPI Number
- 1821129974
- Entity Type
- Organization
- Organization Name
- Springfield Supportive Living
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Mar 8, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2034 E CLEAR LAKE AVE
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62703-1134
- Phone
- (217) 522-8843
Authorized Official
- Name
- MARK ROECKELL
- Title
- MEMBER
- Phone
- (847) 229-3400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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