Organization
SENIOR LIVING INC
Active
Other names
Circle of Life
Organization subpart
No
Provider details
NPI number
Authorized official
C J LEMASTERS RN (DIRECTOR OF OPERATION)
(309) 691-3032
Entity
Organization
Contact information
Practice address
6919 N KNOXVILLE AVE STE 102, PEORIA, IL 61614-2817
(309) 691-3032
Mailing address
6919 N KNOXVILLE AVE STE 102, PEORIA, IL 61614-2817
(309) 691-3032
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1008341
IL
Other
Enumeration date
01/30/2008
Last updated
01/30/2008
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