Our Lady Of Angels Retirement Home
Skilled Nursing Facility in Joliet, IL. Organization (NPI-2).
NPI number1790787679
StatusActive
Last updated in NPPESNov 7, 2016
Details
- NPI
- 1790787679
- Entity type
- Organization (NPI-2)
- Legal business name
- Our Lady Of Angels Retirement Home
- Organization subpart
- No
- Enumeration date
- Aug 11, 2005
- Last updated
- Nov 7, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Practice location
1201 Wyoming AveJoliet, IL 60435-3718
Phone 815-725-6631 · Fax 815-725-1451
Mailing address
1201 Wyoming AveJoliet, IL 60435-3718
Phone 815-725-6631 · Fax 815-725-1451
Authorized official
George Block
Administrator
8157256631
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