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St Clair Supportive Living Lp
Adult Care Home Facility in Caseyville, Illinois
NPI 1881015329

St Clair Supportive Living Lp is an Adult Care Home Facility based in Caseyville, IL and is specialized in Adult Care Home. St Clair Supportive Living Lp practices in Caseyville, IL. The NPI Number for St Clair Supportive Living Lp is 1881015329 and holds a License No. (Illinois).

The current practice location address for St Clair Supportive Living Lp is 921 Knollwood Village Rd, Caseyville, IL and can be reached out via phone at 618-394-0569 and via fax at 618-394-0582.

Location: 921 Knollwood Village Rd, Caseyville, IL, 62232-1808
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881015329
Provider Name
St Clair Supportive Living Lp
Credential
Provider Entity Type
Organization
Address
921 Knollwood Village Rd, Caseyville, IL, 62232-1808
Phone Number
618-394-0569
Fax Number
618-394-0582
Provider Enumeration Date
12/31/2013
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
921 Knollwood Village Rd
City
Caseyville
State
Illinois
Zip
62232-1808
Phone Number
618-394-0569
Fax Number
618-394-0582
person
Provider Business Mailing Address Details
Address
921 Knollwood Village Rd
City
Caseyville
State
Illinois
Zip
62232-1808
Phone Number
618-394-0569
Fax Number
618-394-0582
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
(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.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
(Illinois)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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