Organization
NEW WAY DEVELOPERS, INC.
Active
Other names
Chestnut Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN SOUTH (ADMINISTRATOR)
(618) 942-4578
Entity
Organization
Contact information
Practice address
1404 S 14TH ST, HERRIN, IL 62948-4125
(618) 942-4578
(618) 942-2328
Mailing address
1404 S 14TH ST, HERRIN, IL 62948-4125
(618) 942-4578
(618) 942-2328
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
0039958
IL
Other
Enumeration date
05/02/2008
Last updated
05/02/2008
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