St Clair Supportive Living LP
NPI #1881015329 in Caseyville, Illinois
Provider Information
- NPI Number
- 1881015329
- Entity Type
- Organization
- Organization Name
- St Clair Supportive Living LP
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Dec 31, 2013
- Last Updated
- Dec 31, 2013
Practice Location
- Address
- 921 KNOLLWOOD VILLAGE RD
- City
- Caseyville
- State
- Illinois
- ZIP Code
- 62232-1808
- Phone
- (618) 394-0569
Authorized Official
- Name
- DR. LINDA RENEE BAKER, PH.D.
- Title
- PRESIDENT, KNOLLWOOD MANAGEMENT
- Phone
- (618) 394-0569
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
| Assisted Living Facility |
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