Organization
ACORN ESTATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT E. STOUT LNHA (OWNER)
(618) 294-8696
Entity
Organization
Contact information
Practice address
916 OAK ST, MOUNT CARMEL, IL 62863-2455
(618) 263-4092
(618) 263-4094
Mailing address
215 E LOCUST ST, HARRISBURG, IL 62946-1504
(618) 294-8696
(618) 294-8699
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371104153004
—
IL
Enumeration date
01/11/2019
Last updated
01/11/2019
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