| NPI | 1568970929 |
|---|---|
| Doing Business As | MITCHELL MANOR CONVALESCENT HOME |
| Entity Type | Organization |
| Authorized Contact | ISAAC DOLE Manager 312-724-8950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2018-01-18 |