Organization
WOOD RIVER RETIREMENT CENTER, INC
Active
Other names
Foxes Grove Supportive Living Community
Organization subpart
No
Provider details
NPI number
Authorized official
CHUCK SCHMITZ (AGENT)
(314) 994-9070
Entity
Organization
Contact information
Practice address
395 E EDWARDSVILLE RD, WOOD RIVER, IL 62095-1600
(618) 259-0851
Mailing address
11701 BORMAN DR STE 315, SAINT LOUIS, MO 63146-4194
(314) 994-9070
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
9999999
IL
Other
Enumeration date
08/21/2007
Last updated
08/17/2018
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