Organization
GAHCR II STAUNTON ALF TRS SUB, LLC
Active
Other names
GLENWOOD OF STAUNTON
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY PROSKY (PRESIDENT)
(949) 270-9200
Entity
Organization
Contact information
Practice address
18192 RENKEN RD, STAUNTON, IL 62088-2334
(618) 635-4012
(618) 635-4412
Mailing address
18192 RENKEN RD, STAUNTON, IL 62088-2334
(618) 635-4012
(618) 635-4412
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/05/2014
Last updated
06/10/2014
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