Organization
EMERALD GLEN MANAGEMENT
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
18192 RENKEN ROAD, STAUNTON, IL 62088
(618) 635-4012
Mailing address
PO BOX 771, EFFINGHAM, IL 62401
(217) 821-9539
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
IL
Other
Enumeration date
09/24/2007
Last updated
09/24/2007
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