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Organization

PRESENCE LIFE CONNECTIONS

Active
Parent organization
PRESENCE LIFE CONNECTIONS
Other names
Presence Cor Mariae Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
PRESENCE LIFE CONNECTIONS
Authorized official
MICHAEL GORDON (CFO)
(708) 478-7911
Entity
Organization

Contact information

Practice address
3330 MARIA LINDEN DR, ROCKFORD, IL 61114-5480
(815) 877-7416
(815) 877-4299
Mailing address
18927 HICKORY CREEK DR STE 300, MOKENA, IL 60448-8652
(708) 478-7900
(708) 478-5387

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
IL

Other

Enumeration date
09/14/2005
Last updated
07/21/2022
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