Organization
RIVERSIDE SENIOR LIVING CENTER
Active
Other names
Miller Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD P SCHILTZ (DIRECTOR OF FINANCE)
(815) 935-7256
Entity
Organization
Contact information
Practice address
1601 BUTTERFIELD TRL, KANKAKEE, IL 60901-2959
(815) 936-6500
(815) 936-8965
Mailing address
1601 BUTTERFIELD TRL, KANKAKEE, IL 60901-2959
(815) 936-6500
(815) 936-8965
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0040659
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
747
BC/BS PROVIDER #
IL
Enumeration date
10/16/2006
Last updated
01/04/2012
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