| NPI | 1053715995 |
|---|---|
| Doing Business As | THE ESTATES OF SPANISH LAKE |
| Entity Type | Organization |
| Authorized Contact | TUVIYAH SPECTOR Managing Member 773-322-0387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2016-03-09 |