# CRESCENT DEVELOPMENT GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brookwood
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114142049
- **Authorized official:** MS. JANE M DODSON (VICE PRESIDENT)
- **Authorized official phone:** (618) 327-9846

## Contact information

- **Practice address:** 204 WALNUT ST, ENERGY, IL 62933
- **Practice address phone:** (618) 988-1702
- **Practice address fax:** (618) 942-3345
- **Mailing address:** 15755 NIXON RD, NASHVILLE, IL 62263-4815
- **Mailing address phone:** (618) 327-9846
- **Mailing address fax:** (618) 327-9846

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 01S002 | IL | Yes |

## Other

- **Enumeration date:** 04/16/2007
- **Last updated:** 08/22/2020
