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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