Organization
ALDEN COURTS OF WATERFORD, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN AVELINO (ACCOUNTS RECEIVABLE MANAGER)
(773) 724-6376
Entity
Organization
Contact information
Practice address
4200 W. PETERSON AVE. SUITE 140, CHICAGO, IL 60646-6074
(773) 286-6622
Mailing address
1991 RANDI DR, AURORA, IL 60504-4757
(630) 851-1466
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/14/2016
Last updated
07/18/2017
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