Organization
HERITAGE WOODS OF DEKALB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE DECKER (ADMINISTRATOR)
(815) 787-6500
Entity
Organization
Contact information
Practice address
2626 N ANNIE GLIDDEN RD, DEKALB, IL 60115-1106
(815) 787-6500
Mailing address
2626 N ANNIE GLIDDEN RD, DEKALB, IL 60115-1106
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/10/2008
Last updated
10/10/2008
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