Foxes Grove Slp, LLC
NPI #1992572184 in Wood River, Illinois
Provider Information
- NPI Number
- 1992572184
- Entity Type
- Organization
- Organization Name
- Foxes Grove Slp, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Dec 7, 2023
- Last Updated
- Dec 7, 2023
Practice Location
- Address
- 395 E EDWARDSVILLE RD
- City
- Wood River
- State
- Illinois
- ZIP Code
- 62095-1600
- Phone
- (618) 259-0851
Authorized Official
- Name
- MICHAEL ZAHTZ
- Title
- OWNER/OPERATOR
- Phone
- (847) 676-1700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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