GRAND VICTORIAN OF SYCAMORE, LLC

SYCAMORE, IL
NPI1154527810
Entity TypeOrganization
Authorized ContactJOHN HOLTZ
Controller
541-747-3373
Organization Subpart ?No
Primary Taxonomy305S00000X Point of Service
Enumeration Date2007-06-21
Last Update Date2008-05-13
Business Address
GRAND VICTORIAN OF SYCAMORE, LLC
1440 SOMONAUK ST
SYCAMORE, IL 60178-2916
Phone number: 815-895-1900
Mailing Address
GRAND VICTORIAN OF SYCAMORE, LLC
78 CENTENNIAL LOOP
EUGENE, OR 97401-7900
Phone number: 541-747-3373