Organization
BLC - PARK PLACE, LLC
Active
Other names
Park Place
Organization subpart
No
Provider details
NPI number
Authorized official
MARK J. SCHULTE (CEO)
(312) 977-3700
Entity
Organization
Contact information
Practice address
330 N WABASH AVE, SUITE 1400, CHICAGO, IL 60611-3586
(312) 977-3700
Mailing address
601 S PARK RD, SPOKANE VALLEY, WA 99212-0593
(509) 922-7224
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
BH 1759
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
652398
—
WA
Enumeration date
12/12/2006
Last updated
08/22/2020
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