Organization
LL PEORIA, LLC DBA LAMPLIGHT INN AT PEORIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEN KLEIN (CEO)
(847) 329-4100
Entity
Organization
Contact information
Practice address
10420 N 89TH AVE, PEORIA, AZ 85345-6453
(847) 329-4100
Mailing address
7444 LONG AVE, SKOKIE, IL 60077-3214
(847) 329-4100
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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