| NPI | 1568413821 |
|---|---|
| Doing Business As | LAKE PARK CENTER,LLC |
| Entity Type | Organization |
| Authorized Contact | AVRUM WEINFELD Ce0 847-674-5795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IL 0027052) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2020-10-30 |