| NPI | 1144600222 |
|---|---|
| Doing Business As | THE VILLA AT GREAT LAKE CROSSING |
| Entity Type | Organization |
| Authorized Contact | BEN ISRAEL Manager 224-251-7747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2021-04-27 |