Organization
PROVENA SENIOR SERVICES
Active
Parent organization
PROVENA SENIOR SERVICES
Other names
Provena Geneva Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVENA SENIOR SERVICES
Authorized official
MRS. DENISE A NICHOLS (DR. PATIENT FINANCIAL SERVICES)
(315) 506-2351
Entity
Organization
Contact information
Practice address
1101 E STATE ST, PROVENA GENEVA CARE CENTER, GENEVA, IL 60134-2438
(630) 232-7544
(630) 232-4409
Mailing address
19065 HICKORY CREEK PL, SUITE 310, MOKENA, IL 60448-8507
(708) 478-7900
(708) 478-5387
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
IL
Other
Enumeration date
09/14/2005
Last updated
07/21/2022
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