14D2203766 CLIA NUMBER - OAKLEY COURTS ASSISTED LIVING & MEMORY CARE

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Laboratory Demographics

CLIA Number: 14D2203766

Facility Name: OAKLEY COURTS ASSISTED LIVING & MEMORY CARE

Facility Address:
3117 KUNKLE BLVD
FREEPORT, IL
ZIP 61032
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Facility Phone Number: 815 233-5129

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1447865118

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	14D2203766
LAB Type	Assisted Living Facility
Facility Name	OAKLEY COURTS ASSISTED LIVING & MEMORY CARE
Street	3117 KUNKLE BLVD
City	FREEPORT
State	IL
ZIP	61032
Phone	815 233-5129
CertificateType	4
CertificateEffectiveDate	12/5/2022
CertificateExpirationDate	12/4/2024
FacilityType	Waiver

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