Organization
SHAMROCK SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET P MCDONAGH (PARTNER)
(618) 244-7701
Entity
Organization
Contact information
Practice address
4219 LINCOLNSHIRE DR, MOUNT VERNON, IL 62864-2157
(618) 242-2169
(618) 242-9770
Mailing address
PO BOX 2369, MOUNT VERNON, IL 62864-0046
(618) 244-7701
(618) 244-7704
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
94S227
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
94S227
CILA LICENSE
IL
Enumeration date
01/23/2007
Last updated
08/22/2020
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