NPI | 1063472520 |
---|---|
Doing Business As | LAKE FOREST PLACE |
Entity Type | Organization |
Authorized Contact | ROBERT E LANDSMAN Vice President Of Finance 847-492-4859 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 310400000X Assisted Living Facility |
314000000X Skilled Nursing Facility | |
Enumeration Date | 2006-03-27 |
Last Update Date | 2008-06-04 |