Organization
BOLINGBROOK MEMORY CARE, LLC
Active
Other names
Autumn Leaves of Bolingbrook
Organization subpart
No
Provider details
NPI number
Authorized official
FELICHIA FIELDS (VP OF MANAGEMENT--SL)
(214) 845-4454
Entity
Organization
Contact information
Practice address
351 LILY CACHE LN, BOLINGBROOK, IL 60440-3441
(630) 759-0797
(630) 759-1075
Mailing address
545 E JOHN CARPENTER FWY, SUITE 500, IRVING, TX 75062-3931
(214) 845-4500
(214) 845-4501
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
5104283
IL
Other
Enumeration date
01/13/2014
Last updated
01/13/2014
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