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Organization

WC- OLNEY EG OPS, LLC

Active
Other names
Emerald Glen Olney
Organization subpart
No

Provider details

NPI number
Authorized official
MS. STEPHANIE ERVIN (BUSINESS OFFICE MANAGER)
(618) 395-4663
Entity
Organization

Contact information

Practice address
1301 N EAST ST, OLNEY, IL 62450-2430
(618) 395-4663
(618) 392-6313
Mailing address
1301 N EAST ST, OLNEY, IL 62450-2430
(618) 395-4663
(618) 392-6313

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
IL

Other

Enumeration date
01/08/2015
Last updated
01/08/2015
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