NPI 1417780933

Eden Vista Joliet LLC

Organisation Assisted Living Facility Joliet, IL

Practice location

Address: 3315 Executive Dr, Joliet, IL 60431-8500
Phone: (773) 825-3336
Mailing address: 8170 McCormick Blvd STE 112, Skokie, IL 60076-2914

Authorised official

Name: Max Stesel
Title: Manager
Phone: (773) 825-3336

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1417780933
Entity type: Organization
NPI issued: 21 Aug 2024
Record last updated: 21 Aug 2024

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.