Organization · Type 2 NPI
Emerald Glen Management
Assisted Living Facility · Staunton, IL
NPI number
1104012129
Active
Practice location
18192 Renken Road
Staunton, IL 62088
Mailing address
PO Box 771
Effingham, IL 62401
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
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.
Other assisted living facility providers in Staunton
About NPI 1104012129
Emerald Glen Management's National Provider Identifier is 1104012129, issued on Sep 24, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Staunton, IL. The record was last updated on Sep 24, 2007.