Organization · Type 2 NPI

Marianjoy at Providence Victorian Village

Skilled Nursing Facility · Homer Glen, IL

NPI number 1174912562 Active

Practice location

12525 Renaissance Cir
Homer Glen, IL 60491-5896

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000XNone listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1174912562

Marianjoy at Providence Victorian Village's National Provider Identifier is 1174912562, issued on Jan 22, 2015. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Homer Glen, IL. The record was last updated on Jan 22, 2015.