NPI | 1386332906 |
---|---|
Doing Business As | AVANTARA LINCOLN PARK |
Entity Type | Organization |
Authorized Contact | MENACHEM SHABAT COO 773-248-9300 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2023-05-01 |
Last Update Date | 2023-05-01 |