Organization · Type 2 NPI

The Manor at Jerseyville Glen, LP

Assisted Living Facility · Jerseyville, IL

NPI number 1871190504 Active

Practice location

904B Estates Dr
Jerseyville, IL 62052-2377

Fax (618) 639-9715

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 1871190504

The Manor at Jerseyville Glen, LP's National Provider Identifier is 1871190504, issued on Oct 6, 2020. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Jerseyville, IL. The record was last updated on Oct 6, 2020.