Organization
ST CLAIR SUPPORTIVE LIVING LP
Active
Other names
Knollwood Retirement Community
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA RENEE BAKER PH.D. (PRESIDENT, KNOLLWOOD MANAGEMENT)
(618) 394-0569
Entity
Organization
Contact information
Practice address
921 KNOLLWOOD VILLAGE RD, CASEYVILLE, IL 62232-1808
(618) 394-0569
(618) 394-0582
Mailing address
921 KNOLLWOOD VILLAGE RD, CASEYVILLE, IL 62232-1808
(618) 394-0569
(618) 394-0582
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
IL
311ZA0620X
Adult Care Home Facility
—
IL
Other
Enumeration date
12/31/2013
Last updated
12/31/2013
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