Organization
EDEN VISTA JOLIET LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAX STESEL (MANAGER)
(773) 825-3336
Entity
Organization
Contact information
Practice address
3315 EXECUTIVE DR, JOLIET, IL 60431-8500
(773) 825-3336
Mailing address
8170 MCCORMICK BLVD STE 112, SKOKIE, IL 60076-2914
(773) 825-3336
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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