| NPI | 1548974629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EITAN ZEFFREN Authorized Official 773-622-6144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2023-01-12 |
| Last Update Date | 2023-07-07 |