Organization
PRIME CARE SEVEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY L HICKS (PRESIDENT)
(317) 630-3156
Entity
Organization
Contact information
Practice address
6801 HIGH GROVE BLVD, BURR RIDGE, IL 60527-7585
(630) 920-2900
(630) 920-2905
Mailing address
10401 N MERIDIAN ST, SUITE 122, INDIANAPOLIS, IN 46290-1151
(317) 630-3156
(317) 630-3157
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
PENDING
IL
Other
Enumeration date
05/19/2006
Last updated
03/31/2010
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