Organization
CHOICE COMMUNITY CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LOYS JEAN MOORE (ADMINISTRATOR)
(618) 271-7500
Entity
Organization
Contact information
Practice address
519 WASHINGTON PL, 1ST FLOOR, EAST SAINT LOUIS, IL 62205-2039
(618) 271-7500
(618) 271-7544
Mailing address
519 WASHINGTON PL, 1ST FLOOR, EAST SAINT LOUIS, IL 62205-2039
(618) 271-7500
(618) 271-7544
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1010231
IL
Other
Enumeration date
03/20/2007
Last updated
08/22/2020
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