Organization Name: | VILLAGE OF DOLTON |
NPI Number: | 1679743959 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LINDA DAWN PASTERNAK (ADMINISTRATOR) |
Mailing Address: | 1515 E 154th St Dolton |
State: | IL US |
Postal Code: | 604193154 |
Phone Number: | 7082013381 |
Fax Number: | 7088411315 |
NPI Enumeration Date: | 03/03/2008 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |