Organization
JERSEYVILLE ESTATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MICHAEL GREER (MANAGING GENERAL PARTNER)
(618) 639-9700
Entity
Organization
Contact information
Practice address
1210 E FAIRGROUND AVE, JERSEYVILLE, IL 62052-1153
(618) 639-9700
(618) 639-9701
Mailing address
1210 E FAIRGROUND AVE, JERSEYVILLE, IL 62052-1153
(618) 639-9700
(618) 639-9701
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
0001
IL
Other
Enumeration date
08/12/2011
Last updated
07/21/2022
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