Organization
WOODRIDGE SUPPORTIVE LIVING OF GENESEO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHALL A MAUER (MANAGER)
(847) 679-8219
Entity
Organization
Contact information
Practice address
620 OLIVIA DR, GENESEO, IL 61254-7601
(309) 944-9600
Mailing address
620 OLIVIA DR, GENESEO, IL 61254-7601
(309) 944-9600
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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