Organization
GAHCR II MT. ZION ALF TRS SUB, LLC
Active
Other names
GLENWOOD OF MOUNT ZION
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY PROSKY (PRESIDENT)
(949) 270-9200
Entity
Organization
Contact information
Practice address
1635 N BALTIMORE AVE, MOUNT ZION, IL 62549-1086
(217) 864-1073
(217) 864-1077
Mailing address
1635 N BALTIMORE AVE, MOUNT ZION, IL 62549-1086
(217) 864-1073
(217) 864-1077
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/05/2014
Last updated
06/10/2014
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