Organization
SYCAMORE VILLAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BRAUN (CONTROLLER)
(847) 583-0100
Entity
Organization
Contact information
Practice address
217 CASTELLANO DR, SWANSEA, IL 62226-3080
(618) 222-2571
Mailing address
217 CASTELLANO DR, SWANSEA, IL 62226-3080
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/21/2006
Last updated
08/22/2020
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