Minooka Supportive Living Facility, LLC
NPI #1831634146 in Minooka, Illinois
Provider Information
- NPI Number
- 1831634146
- Entity Type
- Organization
- Organization Name
- Minooka Supportive Living Facility, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Dec 21, 2016
- Last Updated
- Dec 21, 2016
Practice Location
Authorized Official
- Name
- JOELLEN BLEAVINS
- Title
- PRESIDENT OF MANAGEMENT AGENT
- Phone
- (815) 935-1992
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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