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Organization
NEW WAY DEVELOPERS, INC.
Active
Organization
NEW WAY DEVELOPERS, INC.
Active
Other names
Chestnut Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN SOUTH (ADMINISTRATOR)
(618) 942-4578
Entity
Organization
Contact information
Practice address
1404 S 14TH ST, HERRIN, IL 62948-4125
(618) 942-4578
(618) 942-2328
Mailing address
1404 S 14TH ST, HERRIN, IL 62948-4125
(618) 942-4578
(618) 942-2328
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
0039958
IL
Other
Enumeration date
05/02/2008
Last updated
05/02/2008
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