Organization
OUR LADY OF ANGELS RETIREMENT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE BLOCK (ADMINISTRATOR)
(815) 725-6631
Entity
Organization
Contact information
Practice address
1201 WYOMING AVE, JOLIET, IL 60435-3718
(815) 725-6631
(815) 725-1451
Mailing address
1201 WYOMING AVE, JOLIET, IL 60435-3718
(815) 725-6631
(815) 725-1451
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/11/2005
Last updated
11/07/2016
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