NPI 1033396890

Peace Village

Organisation Assisted Living Facility Palos Park, IL

Practice location

Address: 10300 Village Circle Dr, Palos Park, IL 60464-3541
Phone: (708) 671-2403
Fax: (708) 671-2453

Authorised official

Name: Roger P Ellens
Title: Cfo
Phone: (708) 671-2403

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 5101065 (IL)

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Registry record

NPI: 1033396890
Entity type: Organization
NPI issued: 23 Jan 2008
Record last updated: 24 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.