NPI 1477919132

River Valley Supportive Living LLC

Organisation Assisted Living Facility Kankakee, IL

Practice location

Address: 1975 E Court St, Kankakee, IL 60901-2781
Phone: (815) 936-1000
Mailing address: PO Box 597665, Chicago, IL 60659-7665

Authorised official

Name: Marc Siebzener
Title: Manager
Phone: (847) 452-6804

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1477919132
Entity type: Organization
NPI issued: 11 Jan 2016
Record last updated: 11 Jan 2016

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.