Organization · Type 2 NPI
Evergreen Glenhaven Operations, LLC
Assisted Living Facility · Alton, IL
NPI number
1013168202
Active
Practice location
100 Glenhaven Dr
Alton, IL 62002-6700
Mailing address
115 W Jefferson St., Suite 401
Bloomington, IL 61701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 3522842186220201 (IL) |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
7 other providers at this address
- Allison Jane Lund, PTAPhysical Therapy Assistant Alton, IL NPI 1366048381
- Debra FisherPhysical Therapist Alton, IL NPI 1821342486
- Eileen Mary Hughes, PTAPhysical Therapy Assistant Alton, IL NPI 1588294490
- Jenny Peppler, MS CCC/SLPSpeech-Language Pathologist Alton, IL NPI 1245860212
- Mohini N. Shah, OTR/LOccupational Therapist Alton, IL NPI 1902619125
- Robin Ileana Foster, OTR/LOccupational Therapist Alton, IL NPI 1023649761
- Sarah Ann HoguePhysical Therapy Assistant Alton, IL NPI 1164052858
Other assisted living facility providers in Alton
About NPI 1013168202
Evergreen Glenhaven Operations, LLC's National Provider Identifier is 1013168202, issued on Oct 6, 2008. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Alton, IL. The record was last updated on May 18, 2016.