Organization
PRIME HEALTHCARE LIVING - HERITAGE VILLAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DOAN (MANAGING ASSOCIATE GENERAL COUNSEL)
(310) 259-4706
Entity
Organization
Contact information
Practice address
901 N ENTRANCE AVE, KANKAKEE, IL 60901-2026
(815) 939-4506
Mailing address
901 N ENTRANCE AVE, KANKAKEE, IL 60901-2026
(815) 939-4506
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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