Organization
SHABBONA SUPPORTIVE LIVING
Active
Parent organization
SW MANAGEMENT
Organization subpart
Yes
Provider details
NPI number
Legal business name
SW MANAGEMENT
Authorized official
DELORES J NICOLSON (MANAGER)
(815) 824-8480
Entity
Organization
Contact information
Practice address
407 W COMANCHE AVE, SHABBONA, IL 60550-9501
(815) 824-8480
(815) 824-2412
Mailing address
407 W COMANCHE AVE, SHABBONA, IL 60550-9501
(815) 824-8480
(815) 824-2412
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
IL
Other
Enumeration date
02/26/2008
Last updated
07/21/2022
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