Organization
PATHWAY LA GRANGE PROPERTY OWNER, LLC
Active
Other names
Aspired Living of La Grange
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTENJ BECHT (RISK MANAGER)
(312) 837-0710
Entity
Organization
Contact information
Practice address
35 SHAWMUT AVE, LA GRANGE, IL 60525-8648
(708) 206-9899
Mailing address
222 S RIVERSIDE PLZ FL 20, CHICAGO, IL 60606-5808
(312) 837-0701
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5107393
IDPH LICENSE NUMBER
IL
Enumeration date
01/06/2022
Last updated
01/06/2022
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