# PARK PLACE CHRISTIAN COMMUNITY OF ST. JOHN, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306207386
- **Authorized official:** MR. RICHARD LEE NOLDEN (VP OF HEALTHCARE STRATEGY)
- **Authorized official phone:** (708) 342-8115

## Contact information

- **Practice address:** 10865 MAPLE LN, SUITE C, SAINT JOHN, IN 46373-8513
- **Practice address phone:** (219) 525-4658
- **Mailing address:** 18601 N CREEK DR, SUITE C, TINLEY PARK, IL 60477-6397
- **Mailing address phone:** (708) 342-8115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 03/17/2016
- **Last updated:** 03/17/2016