Psl Virtus Wlz Venture, LLC
NPI #1184499634 in Lake Zurich, Illinois
Provider Information
- NPI Number
- 1184499634
- Entity Type
- Organization
- Organization Name
- Psl Virtus Wlz Venture, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Nov 15, 2023
- Last Updated
- Nov 15, 2023
Practice Location
- Address
- 795 N RAND RD
- City
- Lake Zurich
- State
- Illinois
- ZIP Code
- 60047-2453
- Phone
- (847) 438-6100
Authorized Official
- Name
- STEPHEN LEVY
- Title
- AGENT FOR OWNER
- Phone
- (312) 673-4387
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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