Organization
CHURCHVIEW SUPPORTIVE LIVING COMMUNITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA KELLY (ADMINISTRATOR)
(773) 471-4444
Entity
Organization
Contact information
Practice address
2626 W 63RD ST, CHICAGO, IL 60629-1655
(773) 471-4444
(773) 471-3935
Mailing address
2626 W 63RD ST, CHICAGO, IL 60629-1655
(773) 471-4444
(773) 471-3935
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
0001
IL
Other
Enumeration date
09/18/2007
Last updated
07/21/2022
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