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Organization

PEACE VILLAGE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROGER P ELLENS (CFO)
(708) 671-2403
Entity
Organization

Contact information

Practice address
10300 VILLAGE CIRCLE DR, PALOS PARK, IL 60464-3541
(708) 671-2403
(708) 671-2453
Mailing address
10300 VILLAGE CIRCLE DR, PALOS PARK, IL 60464-3541
(708) 671-2403
(708) 671-2453

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
5101065
IL

Other

Enumeration date
01/23/2008
Last updated
07/24/2014
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