Organization
GAHCR II GREENVILLE ALF TRS SUB, LLC
Active
Other names
THE GLENWOOD OF GREENVILLE
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY PROSKY (PRESIDENT)
(949) 270-9200
Entity
Organization
Contact information
Practice address
605 S DEWEY ST, GREENVILLE, IL 62246-2296
(618) 664-9012
Mailing address
605 S DEWEY ST, GREENVILLE, IL 62246-2296
(618) 664-9012
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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