Organization
SENIOR PALACE ADULT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON R JONES (CERTIFIED ADULT DAYCARE PROVIDER)
(319) 651-8351
Entity
Organization
Contact information
Practice address
27815 S STONEY ISLAND AVE, CRETE, IL 60417-8001
(319) 651-8351
Mailing address
4734 JOHNSON AVE, HAMMOND, IN 46327-1530
(319) 651-8351
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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