Organization
JJR ENTERPRISES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH ANN QUICK (VICE PRESIDENT)
(618) 244-7701
Entity
Organization
Contact information
Practice address
2025 BROADWAY ST STE B, MOUNT VERNON, IL 62864-2935
(618) 244-7701
(618) 244-7704
Mailing address
PO BOX 705, MOUNT VERNON, IL 62864-0015
(618) 244-7701
(618) 244-7704
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
96S007
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
96S007
CILA LICENSE
IL
Enumeration date
11/14/2006
Last updated
08/22/2020
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