Organization
PIONEER GARDENS SENIOR HOUSING LP
Active
Other names
Pioneer Gardens Supportive Living
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY SHELL SR. (EXECUTIVE DIRECTOR)
(773) 420-4101
Entity
Organization
Contact information
Practice address
3800 S KING DR, CHICAGO, IL 60653-1785
(773) 420-4100
(773) 536-0720
Mailing address
3800 S KING DR, CHICAGO, IL 60653-1785
(773) 420-4100
(773) 536-0720
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
—
—
310400000X
Assisted Living Facility
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32001233001
—
IL
Enumeration date
03/27/2008
Last updated
04/30/2015
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