Organization
PRIME HEALTHCARE SENIOR LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DOAN (MANAGING ASSOCIATE GENERAL COUNSEL)
(310) 259-4706
Entity
Organization
Contact information
Practice address
210 SPRINGFIELD AVE, JOLIET, IL 60435-6589
(815) 725-3400
Mailing address
210 SPRINGFIELD AVE, JOLIET, IL 60435-6589
(815) 725-3400
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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