Organization
MONROE COUNTY
Active
Parent organization
MONROE COUNTY
Other names
Magnolia Terrace
Organization subpart
Yes
Provider details
NPI number
Legal business name
MONROE COUNTY
Authorized official
MRS. KIM LEE KECKRITZ (ADMINISTRATOR)
(618) 939-3488
Entity
Organization
Contact information
Practice address
623 HAMACHER STREET, WATERLOO, IL 62298-1598
(618) 939-0500
(618) 939-4906
Mailing address
623 HAMACHER STREET, WATERLOO, IL 62298-1598
(618) 939-0500
(618) 939-4906
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
IL
Other
Enumeration date
09/12/2008
Last updated
06/25/2015
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