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14D0687559 CLIA NUMBER - PARC AT JOLIET LLC, THE

Laboratory Demographics

CLIA Number: 14D0687559

Facility Name: PARC AT JOLIET LLC, THE

Facility Address:
222 N HAMMES AVE
JOLIET, IL
ZIP 60436
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Facility Phone Number: 815 725-0443

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1689096745

Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

CLIA Record

Field Name Field Value
CLIA Number 14D0687559
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PARC AT JOLIET LLC, THE
Street 222 N HAMMES AVE
City JOLIET
State IL
ZIP 60436
Phone 815 725-0443
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024