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Organization

PEKIN SUPPORTIVE LIVING LIMITED PATNERSHIP

Active
Parent organization
LABORERES HOME VII
Other names
John M Evans SLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
LABORERES HOME VII
Authorized official
MELANIE S. DANIELS (ADMINISTRATOR)
(309) 477-8800
Entity
Organization

Contact information

Practice address
1320 EXECUTIVE COURT, PEKIN, IL 61554
(309) 477-8800
(309) 477-8801
Mailing address
1320 EXECUTIVE COURT, PEKIN, IL 61554
(309) 477-8800
(309) 477-8801

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
12/05/2007
Last updated
12/05/2007
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