Our Lady of Angels Retirement Home

NPI #1790787679 in Joliet, Illinois

Provider Information

NPI Number
1790787679
Entity Type
Organization
Organization Name
Our Lady of Angels Retirement Home
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Aug 11, 2005
Last Updated
Nov 7, 2016

Practice Location

Address
1201 WYOMING AVE
City
Joliet
ZIP Code
60435-3718
Phone
(815) 725-6631

Authorized Official

Name
GEORGE BLOCK
Title
ADMINISTRATOR
Phone
(815) 725-6631

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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