Organization · Type 2 NPI
Crescent Development Group, Inc.
Adult Care Home Facility · Energy, IL
NPI number
1114142049
Active
Practice location
204 Walnut St
Energy, IL 62933
Fax (618) 942-3345
Mailing address
15755 Nixon Rd
Nashville, IL 62263-4815
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 01S002 (IL) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
About NPI 1114142049
Crescent Development Group, Inc.'s National Provider Identifier is 1114142049, issued on Apr 16, 2007. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Energy, IL. The record was last updated on Aug 22, 2020.