Organization
GRANVILLE AID OPCO LLC
Active
Other names
Granville Place
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL GUILL (COO)
(312) 725-7072
Entity
Organization
Contact information
Practice address
111 SUNSET RD, BURLINGTON, NJ 08016-4159
(312) 725-7072
Mailing address
330 N WABASH AVE STE 3700, CHICAGO, IL 60611-7605
(312) 725-7072
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
10A000
NJ
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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