Organization · NPI-2

Alden Courts Of Waterford, L.L.C.

Skilled Nursing Facility · Chicago, IL

NPI number1851849269

StatusActive

Last updated in NPPESJul 18, 2017

Details

NPI: 1851849269
Entity type: Organization (NPI-2)
Legal business name: Alden Courts Of Waterford, L.L.C.
Organization subpart: No
Enumeration date: Sep 14, 2016
Last updated: Jul 18, 2017

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
314000000X	Skilled Nursing Facility	–	–	Yes
310400000X	Assisted Living Facility	–	–

Practice location

4200 W. Peterson Ave. Suite 140
Chicago, IL 60646-6074

Phone 773-286-6622

Mailing address

1991 Randi Dr
Aurora, IL 60504-4757

Phone 630-851-1466

Authorized official

John Avelino
Accounts Receivable Manager
7737246376

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