Prime Healthcare Living - Heritage Village - Lodge LLC

NPI #1376362111 in Joliet, Illinois

Provider Information

NPI Number
1376362111
Entity Type
Organization
Organization Name
Prime Healthcare Living - Heritage Village - Lodge LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Oct 8, 2024
Last Updated
Oct 8, 2024

Practice Location

Address
210 SPRINGFIELD AVE
City
Joliet
ZIP Code
60435-6589
Phone
(815) 725-3400

Authorized Official

Name
CHRISTOPHER DOAN
Title
MANAGING ASSOCIATE GENERAL COUNSEL
Phone
(310) 259-4706

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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