NPI | 1205874658 |
---|---|
Doing Business As | ADDOLORATA VILLA |
Entity Type | Organization |
Authorized Contact | JUDY AMIANO President & CEO 708-647-6500 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0045443) |
Additional Taxonomies | 310400000X Assisted Living Facility (Licence: IL 1577674) |
Enumeration Date | 2006-06-04 |
Last Update Date | 2018-08-17 |