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Evergreen Glenhaven Operations, Llc
Assisted Living Facility in Alton, Illinois
NPI 1013168202

Evergreen Glenhaven Operations, Llc is an Assisted Living Facility based in Bloomington, IL. Evergreen Glenhaven Operations, Llc practices in Alton, IL. The NPI Number for Evergreen Glenhaven Operations, Llc is 1013168202 and holds a License No. 3522842186220201 (Illinois).

The current practice location address for Evergreen Glenhaven Operations, Llc is 100 Glenhaven Dr, Alton, IL and can be reached out via phone at 618-462-1500. You can also correspond with Evergreen Glenhaven Operations, Llc through the mailing address at 115 W JEFFERSON ST., BLOOMINGTON, IL - 61701 (mailing address contact number: 309-828-4361).

Location: 100 Glenhaven Dr, Alton, IL, 61701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013168202
Provider Name
Evergreen Glenhaven Operations, Llc
Credential
Provider Entity Type
Organization
Address
100 Glenhaven Dr, Alton, IL, 61701
Phone Number
618-462-1500
Fax Number
Provider Enumeration Date
10/06/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
352284218001 05 IL
institution
Provider Business Practice Location Address Details
Address
100 Glenhaven Dr
City
Alton
State
Illinois
Zip
62002-6700
Phone Number
618-462-1500
Fax Number
person
Provider Business Mailing Address Details
Address
100 Glenhaven Dr
City
Alton
State
Illinois
Zip
62002-6700
Phone Number
618-462-1500
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
3522842186220201 (Illinois)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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