Organization
COLONNADE SENIOR DEVELOPMENT, LLC
Active
Other names
Colonnade Senior Living
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN R LEVEY (MANAGING MEMBER)
(213) 705-9397
Entity
Organization
Contact information
Practice address
700 WEBER RD, O FALLON, IL 62269-2215
(618) 624-6000
Mailing address
700 WEBER RD, O FALLON, IL 62269-2215
(618) 624-6000
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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