14D2110343 CLIA NUMBER - VICTORY CENTRE OF RIVER OAKS

Laboratory Demographics

CLIA Number: 14D2110343

Facility Name: VICTORY CENTRE OF RIVER OAKS

Facility Address:
1370 RING RD
CALUMET CITY, IL
ZIP 60409
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Facility Phone Number: 708 933-8000

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1073700332

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	14D2110343
LAB Type	Assisted Living Facility
Facility Name	VICTORY CENTRE OF RIVER OAKS
Street	1370 RING RD
City	CALUMET CITY
State	IL
ZIP	60409
Phone	708 933-8000
CertificateType	4
CertificateEffectiveDate	1/7/2023
CertificateExpirationDate	1/6/2025
FacilityType	Waiver

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