Organization
PSL VIRTUS WLZ VENTURE, LLC
Active
Other names
Azpira Place of Lake Zurich
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN LEVY (AGENT FOR OWNER)
(312) 673-4387
Entity
Organization
Contact information
Practice address
795 N RAND RD, LAKE ZURICH, IL 60047-2453
(847) 438-6100
Mailing address
795 N RAND RD, LAKE ZURICH, IL 60047-2453
(847) 438-6100
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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