Organization
PARK PLACE CHRISTIAN COMMUNITY OF ST. JOHN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD LEE NOLDEN (VP OF HEALTHCARE STRATEGY)
(708) 342-8115
Entity
Organization
Contact information
Practice address
10865 MAPLE LN, SUITE C, SAINT JOHN, IN 46373-8513
(219) 525-4658
Mailing address
18601 N CREEK DR, SUITE C, TINLEY PARK, IL 60477-6397
(708) 342-8115
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/17/2016
Last updated
03/17/2016
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