Organization
YOUNG 60 PLUS CLUB LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTNEY M JETER LPN, IPN, MA, (CEO)
(833) 960-7587
Entity
Organization
Contact information
Practice address
4437 LINCOLN HWY, MATTESON, IL 60443-2317
(833) 960-7587
(309) 882-0065
Mailing address
4437 LINCOLN HWY, MATTESON, IL 60443-2317
(833) 960-7587
(309) 882-0065
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
04/27/2022
Last updated
12/29/2023
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