NPI | 1508922683 |
---|---|
Doing Business As | THE ADMIRAL AT THE LAKE |
Entity Type | Organization |
Authorized Contact | GLENN BRICHACEK President/CEO 773-561-2900 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
Enumeration Date | 2006-12-31 |
Last Update Date | 2022-07-21 |