Organization
PMR ILLINOIS HOLDING, LLC
Active
Organization
PMR ILLINOIS HOLDING, LLC
Active
Parent organization
PMR ILLINOIS HOLDING, LLC
Other names
JenCare Senior Medical Center Dolton
Organization subpart
Yes
Provider details
NPI number
Legal business name
PMR ILLINOIS HOLDING, LLC
Authorized official
MARY CHEN (AUTHORIZED OFFICIAL)
(305) 831-4722
Entity
Organization
Contact information
Practice address
600 E SIBLEY BLVD, DOLTON, IL 60419-2599
(708) 340-7400
Mailing address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710
(305) 628-6117
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
10/31/2024
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