Organization · Type 2 NPI
Shabbona Supportive Living
Assisted Living Facility · Shabbona, IL
NPI number
1366639833
Active
Practice location
407 W Comanche Ave
Shabbona, IL 60550-9501
Fax (815) 824-2412
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
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.
2 other providers at this address
Other assisted living facility providers in Shabbona
About NPI 1366639833
Shabbona Supportive Living's National Provider Identifier is 1366639833, issued on Sep 28, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Shabbona, IL. The record was last updated on Apr 17, 2008.