Organization
3RD AND INDIAN SCHOOL ASSISTED LIVING FACILITY, LLC
Active
Organization
3RD AND INDIAN SCHOOL ASSISTED LIVING FACILITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JO ELLEN BLEAVINS (PRESIDENT AND CEO)
(217) 620-9874
Entity
Organization
Contact information
Practice address
4000 N 3RD AVE, PHOENIX, AZ 85013-1285
(217) 620-9874
Mailing address
121 W WACKER DR STE 400, CHICAGO, IL 60601-1781
(217) 620-9874
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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