Organization
EMERALD GLEN MANAGMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY C NUELLE (DIRECTOR OF OPERATIONS)
(217) 821-9539
Entity
Organization
Contact information
Practice address
605 DEWEY ST, GREENVILLE, IL 62246-2296
(618) 664-9012
Mailing address
PO BOX 771, EFFINGHAM, IL 62401-0771
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
IL
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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