The Manor at Jerseyville Glen, LP
NPI #1871190504 in Jerseyville, Illinois
Provider Information
- NPI Number
- 1871190504
- Entity Type
- Organization
- Organization Name
- The Manor at Jerseyville Glen, LP
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Oct 6, 2020
- Last Updated
- Oct 6, 2020
Practice Location
- Address
- 904B ESTATES DR
- City
- Jerseyville
- State
- Illinois
- ZIP Code
- 62052-2377
- Phone
- (618) 639-9710
Authorized Official
- Name
- CYNTHIA ANN RAPP
- Title
- CHIEF OPERATING OFFICER
- Phone
- (618) 594-8581
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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