| NPI | 1376863019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MENACHEM BERGER Manager 847-679-9797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: license applied for) |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2021-04-27 |