NPI 1326110594

Jjr Enterprises INC

Organisation Adult Care Home Facility Mount Vernon, IL

Practice location

Address: 2025 Broadway St STE B, Mount Vernon, IL 62864-2935
Phone: (618) 244-7701
Fax: (618) 244-7704
Mailing address: PO Box 705, Mount Vernon, IL 62864-0015

Authorised official

Name: Beth Ann Quick
Title: Vice President
Phone: (618) 244-7701

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 96S007 (IL)

Other Custodial Care Facility providers in Illinois →

Registry record

NPI: 1326110594
Entity type: Organization
NPI issued: 14 Nov 2006
Record last updated: 22 Aug 2020

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.