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Organization

FOX MEADOWS SLF LP

Active
Parent organization
HERITAGE WOODS OF MCLEANSBORO
Other names
Heritage Woods of McLeansboro
Organization subpart
Yes

Provider details

NPI number
Legal business name
HERITAGE WOODS OF MCLEANSBORO
Authorized official
KENDRA JO MILLENBINE (ADMINISTRATOR)
(618) 643-2908
Entity
Organization

Contact information

Practice address
605 S MARSHALL AVE, MC LEANSBORO, IL 62859-1267
(618) 643-2908
Mailing address
605 S MARSHALL AVE, MC LEANSBORO, IL 62859-1267
(618) 643-2908

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
001
IL

Other

Enumeration date
04/16/2013
Last updated
07/21/2022
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