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MONTCLARE SENIOR RESIDENCES SLF OF LAWNDALE LLC

Assisted Living Facility

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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Contact Information

MONTCLARE SENIOR RESIDENCES SLF OF LAWNDALE LLC
4339 WEST 18TH PLACE
CHICAGO, IL  60623
 Phone: 773-277-0288
 Fax: 773-277-0312
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Assisted Living Facility

 310400000X
Indicates primary specialty

NPI Profile & details for MONTCLARE SENIOR RESIDENCES SLF OF LAWNDALE LLC

NPI # 1922543917
LBN Legal business name MONTCLARE SENIOR RESIDENCES SLF OF LAWNDALE LLC
Authorized official JOELLEN BLEAVINS - (PRESIDENT OF MANAGEMENT AGENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/29/2016
Last updated 12/29/2016 - About 9 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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