Organization
LIFESPACE COMMUNITIES INC
Active
Parent organization
LIFESPACE COMMUNITIES INC
Other names
Beacon Hill
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFESPACE COMMUNITIES INC
Authorized official
WILLIAM STEVEN NUTTY (COMPLIANCE, AUDIT & PRIVACY OFFICER)
(515) 309-7803
Entity
Organization
Contact information
Practice address
2400 S FINLEY RD, LOMBARD, IL 60148-7029
(630) 620-5850
(630) 691-8715
Mailing address
2400 S FINLEY RD, LOMBARD, IL 60148-7029
(630) 620-5850
(630) 691-8715
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
145522
IL
Other
Enumeration date
06/01/2006
Last updated
05/20/2020
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