PROVIDENCE OPERATIONS, LLC
Skilled Nursing Facility
Palos Heights, Illinois
Provider NPI: 1174525422
Organization Information:Organization Name: PROVIDENCE OPERATIONS, LLC
Practice Location:
13259 S CENTRAL AVE PALOS HEIGHTS, IL 60463 US
Tel: 708-597-1000 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
13259 S CENTRAL AVE PALOS HEIGHTS, IL 60463 US
Tel: 708-597-1000 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | IL | 0028605 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
362382853002 | IL | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin