NPI | 1184338881 |
---|---|
Doing Business As | AVANTARA LIBERTYVILLE |
Entity Type | Organization |
Authorized Contact | CHAIM RAJCHENBACH Principal 847-745-7000 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2023-01-09 |
Last Update Date | 2023-01-09 |