Organization
RIVER VALLEY SUPPORTIVE LIVING RESIDENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BEN KLEIN (MANAGER)
(847) 329-4100
Entity
Organization
Contact information
Practice address
1975 E COURT ST, KANKAKEE, IL 60901-2781
(815) 936-1000
Mailing address
1975 EAST COURT STREET, KANKAKEE, IL 60901
(815) 936-1000
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/06/2009
Last updated
02/06/2009
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