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Organization

PLAINFIELD SUPPORTIVE LIVING, LLC

Active
Other names
Heritage Woods of Plainfield
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRIAN NEBEL (ADMINISTRATOR)
(815) 267-3800
Entity
Organization

Contact information

Practice address
14731 S. VAN DYKE ROAD, PLAINFIELD, IL 60544
(815) 467-3800
Mailing address
14731 S. VAN DYKE ROAD, PLAINFIELD, IL 60544
(815) 467-3800

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
03/05/2012
Last updated
03/05/2012
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