NPI | 1124009873 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL LERNER President 773-279-9420 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0042309) |
Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IL 0042309) |
Enumeration Date | 2005-11-09 |
Last Update Date | 2012-01-24 |