Organization
PRESENCE HERITAGE DAY BREAK
Active
Parent organization
PRESENCE LIFE CONNECTIONS
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRESENCE LIFE CONNECTIONS
Authorized official
MR. MICHAEL GORDON (CFO)
(708) 478-7911
Entity
Organization
Contact information
Practice address
1025 N WASHINGTON AVE, KANKAKEE, IL 60901-2059
(815) 937-2447
(708) 478-5387
Mailing address
1025 N WASHINGTON AVE, KANKAKEE, IL 60901-2059
(815) 937-2447
(708) 478-5387
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ADS1002010
ILLINOIS DEPARTMENT OF AGING
IL
Enumeration date
03/23/2015
Last updated
03/23/2015
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