| NPI | 1578941340 |
|---|---|
| Doing Business As | JACKSON SQUARE SKILLED NURSING & LIVING CENTER |
| Entity Type | Organization |
| Authorized Contact | DAVID HARTMAN Authorized Official 847-745-6212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2015-09-15 |