Organization
REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME
Active
Other names
Providence Hospice, Providence Life Services
Organization subpart
No
Provider details
NPI number
Authorized official
JOHANNA ZANDSTRA (VICE PRESIDENT OF OPERATIONS)
(708) 342-8100
Entity
Organization
Contact information
Practice address
10700 PARK PL, SAINT JOHN, IN 46373-8666
(800) 509-2800
(708) 342-8006
Mailing address
18601 N CREEK DR, TINLEY PARK, IL 60477-6397
(708) 342-8100
(708) 342-8006
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
04/21/2016
Last updated
01/23/2024
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