Organization
MARLEY OAKS ASSISTED LIVING RESIDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES CHARLES STELLWAGEN (TREASURER)
(815) 685-5803
Entity
Organization
Contact information
Practice address
12631 187TH ST, MOKENA, IL 60448-8731
(815) 485-5860
Mailing address
12631 187TH ST, MOKENA, IL 60448-8731
(815) 485-5860
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/10/2020
Last updated
04/10/2020
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