Organization
MACOMB SENIOR LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG ECHOLS (CO-PRESIDENT OF MANAGEMENT AGENT)
(779) 216-5849
Entity
Organization
Contact information
Practice address
1307 MEADOWLARK LN, MACOMB, IL 61455-7508
(309) 833-5000
(309) 833-5005
Mailing address
200 E COURT ST STE 400, KANKAKEE, IL 60901-3848
(815) 935-1992
(815) 935-8380
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
IL
Other
Enumeration date
09/20/2017
Last updated
09/18/2024
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