Organization
ROYAL ESTATES ASSISTIVE LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARC SIEBZENER (CO MANAGER)
(847) 452-6804
Entity
Organization
Contact information
Practice address
1515 E 154TH ST., DOLTON, IL 60419
(708) 841-5560
(708) 849-4676
Mailing address
PO BOX 597665, CHICAGO, IL 60659
(847) 452-6804
(773) 305-2998
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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