Organization
LIFESPACE COMMUNITIES INC
Active
Other names
Oak Trace
Organization subpart
No
Provider details
NPI number
Authorized official
JODI HIRSCH (SVP & GENERAL COUNSEL)
(515) 288-5805
Entity
Organization
Contact information
Practice address
250 VILLAGE DR, DOWNERS GROVE, IL 60516
(630) 769-6200
(630) 769-6020
Mailing address
4201 CORPORATE DR, WEST DES MOINES, IA 50266-5906
(515) 288-5805
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0017061
IL
Other
Enumeration date
07/07/2005
Last updated
05/16/2018
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