1815 Ridge Avenue LLC
NPI #1073288494 in Evanston, Illinois
Provider Information
- NPI Number
- 1073288494
- Entity Type
- Organization
- Organization Name
- 1815 Ridge Avenue LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Aug 9, 2021
- Last Updated
- Jul 21, 2022
Practice Location
Authorized Official
- Name
- MELISSA ANNE COSENTINO, MSW, CDP
- Title
- EXECUTIVE DIRECTOR
- Phone
- (847) 960-5555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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