NPI | 1467426676 |
---|---|
Doing Business As | MEADOWBROOK MANOR OF LAGRANGE |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER VANGEL Executive Director 331-472-4500 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0047274) |
Enumeration Date | 2006-02-14 |
Last Update Date | 2012-02-10 |