Organization
AVONDALE VAN BUREN ALF, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JO ELLEN BLEAVINS (PRESIDENT AND CEO)
(217) 620-9874
Entity
Organization
Contact information
Practice address
295 E VAN BUREN ST, AVONDALE, AZ 85323-1419
(602) 603-8200
Mailing address
121 W WACKER DR STE 400, CHICAGO, IL 60601-1781
(217) 620-9874
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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