Jacksonville Assisted Living
NPI #1861517955 in Jacksonville, Illinois
Provider Information
- NPI Number
- 1861517955
- Entity Type
- Organization
- Organization Name
- Jacksonville Assisted Living
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Mar 20, 2007
- Last Updated
- Jan 31, 2011
Practice Location
- Address
- 20 JACKSONVILLE PL
- City
- Jacksonville
- State
- Illinois
- ZIP Code
- 62650-3716
- Phone
- (217) 245-5101
Authorized Official
- Name
- MR. JOSEPH A SCHLOUSKI
- Title
- ADMINISTRATOR
- Phone
- (217) 245-5101
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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