Organization
JENNINGS TERRACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOMARIE SILVER (ADMINISTRATOR)
(630) 235-1013
Entity
Organization
Contact information
Practice address
275 S. LASALLE STREET, AURORA, IL 60505
(630) 879-6947
(630) 879-6949
Mailing address
275 S LASALLE STREET, AURORA, IL 60505-4258
(630) 897-6947
(630) 897-6949
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
0010371
IL
314000000X
Skilled Nursing Facility
0010371
IL
385H00000X
Respite Care
0010371
IL
Other
Enumeration date
07/02/2008
Last updated
06/29/2022
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