Organization
DOVER AID II OPCO LLC
Active
Other names
Dover Place
Organization subpart
No
Provider details
NPI number
Authorized official
PETER TARSNEY (AUTHORIZED SIGNATORY)
(312) 725-7102
Entity
Organization
Contact information
Practice address
1203 WALKER RD, DOVER, DE 19904-6541
(312) 725-7000
Mailing address
330 N WABASH AVE, STE 3700, CHICAGO, IL 60611-3586
(312) 725-7041
(312) 332-6002
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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