| NPI | 1164810420 |
|---|---|
| Doing Business As | EMERALD GLEN OLNEY |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ERVIN Business Office Manager 618-395-4663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2015-01-08 |