Organization
PRESENCE LIFE CONNECTIONS
Active
Parent organization
PRESENCE LIFE CONNECTIONS
Other names
Presence Pine View Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRESENCE LIFE CONNECTIONS
Authorized official
MICHAEL GORDON (CFO)
(708) 478-7911
Entity
Organization
Contact information
Practice address
611 ALLEN LN, ST. CHARLES, IL 60174-1355
(630) 377-2211
(630) 377-4352
Mailing address
18927 HICKORY CREEK DR STE 300, MOKENA, IL 60448-8652
(708) 478-7911
(708) 478-5324
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
IL
Other
Enumeration date
09/23/2005
Last updated
03/01/2016
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