Organization
RIVER VALLEY SUPPORTIVE LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC SIEBZENER (MANAGER)
(847) 452-6804
Entity
Organization
Contact information
Practice address
1975 E COURT ST, KANKAKEE, IL 60901-2781
(815) 936-1000
Mailing address
PO BOX 597665, CHICAGO, IL 60659-7665
(847) 452-6804
(773) 305-2998
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/11/2016
Last updated
01/11/2016
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