VICTORY CENTRE OF JOLIET LLC NPI 1417144775

NPI Information

VICTORY CENTRE OF JOLIET LLC is an assisted living facility in Joliet, 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. VICTORY CENTRE OF JOLIET LLC NPI is 1417144775. The provider is registered as an organization entity type.

The provider's business location address is:

29 N BROADWAY
JOLIET, IL
ZIP 60435-400
Phone: (815) 724-0308
Fax: (815) 723-2956

The provider's authorized official is Kristen Becht .
The authorized official title is Risk Manager and has the following contact phone number (312) 837-0710.

The CLIA number assigned to this NPI record is 14D2110336 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/1/2007 and was last updated on 4/11/2019.

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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