Organization
BELLEVILLE VILLAS, LLC - BELLEVILLE OPERATION SERIES
Active
Parent organization
BELLEVILLE VILLAS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BELLEVILLE VILLAS, LLC
Authorized official
MR. RANDY PORTER CFO (CHIEF FINANCIAL OFFICER)
(217) 345-5022
Entity
Organization
Contact information
Practice address
4350 FRANK SCOTT PKWY W, BELLEVILLE, IL 62223-6810
(618) 744-0231
Mailing address
2402 18TH ST, CHARLESTON, IL 61920-4343
(217) 345-5022
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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