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

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone 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.

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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.