BETH ANNE EXTENDED LIVING NPI 1194902353

NPI Information

BETH ANNE EXTENDED LIVING is an assisted living facility in Chicago, IL. The provider is 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. BETH ANNE EXTENDED LIVING NPI is 1194902353. The provider is registered as an organization entity type.
The provider Other Name Is Beth Anne Place.

The provider's business location address is:

1143 N LAVERGNE AVE
CHICAGO, IL
ZIP 60651-117
Phone: (773) 287-2711
Fax: (773) 473-7871

The provider's authorized official is Steven D. Mccullough .
The authorized official title is President And Ceo and has the following contact phone number (773) 473-7870.

The enumeration date for this NPI number is 1/29/2008 and was last updated on 1/30/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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