NPI 1033938295
Phillips Warner Realty, LLC - Monticello Operation Series
Practice location
- Address
- 901 Medical Center Dr, Monticello, IL 61856-2144
- Phone
- (217) 631-1136
- Mailing address
- 2402 18th St, Charleston, IL 61920-4343
Authorised official
- Name
- Randy Porter
- Title
- Chief Financial Officer
- Phone
- (217) 345-5022
Registered specialties
Assisted Living Facility
Primary
Registry record
- NPI
- 1033938295
- Entity type
- Organization
- NPI issued
- 5 Oct 2024
- Record last updated
- 7 Oct 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.