Churchview Supportive Living Community

NPI 1003002650 - Assisted Living Facility - 310400000X

NPI Details
NPI 1003002650
Enumeration Date 09/18/2007
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LAURA LAURA
Position ADMINISTRATOR
Phone (773) 471-4444
Fax (773) 471-3935
Practice Location
2626 W 63RD ST
CHICAGO IL, 60629-1655, US
Phone (773) 471-4444
Fax (773) 471-3935
Business Location
2626 W 63RD ST
CHICAGO IL, 60629-1655, US
Phone (773) 471-4444
Fax (773) 471-3935
Toxanomy
Taxonomy Code 310400000X
License State Illinois
License Number 0=========001
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According to our database, Churchview Supportive Living Community NPI is 1003002650, taxonomy code is 310400000X and license number is 0=========001, license state is located at Illinois. Churchview Supportive Living Community physically located at 2626 W 63rd St, Chicago IL, 60629-1655. NPI Number 1033115704 has the healthcare provider type.

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1003002650 NPI number is provided on an as is basis without warranty of any kind. 1003002650 is maintained by the National Plan & Provider Enumeration System. The contents of Churchview Supportive Living Community are for informational purposes only.