Organization
VICTORY CENTRE OF PARK FOREST LLC
Active
Parent organization
PSL HOLDINGS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PSL HOLDINGS LLC
Authorized official
MR. JEROME E FINIS (PRESIDENT)
(312) 837-0704
Entity
Organization
Contact information
Practice address
101 MAIN STREET, PARK FOREST, IL 60466-2375
(708) 283-2921
(708) 283-8364
Mailing address
333 W. WACKER DRIVE, SUITE 1010, CHICAGO, IL 60606-1202
(312) 837-0701
(312) 837-0728
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
IL
310400000X
Assisted Living Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
364270870001
—
IL
Enumeration date
10/01/2007
Last updated
07/07/2016
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