NPI | 1588816623 |
---|---|
Doing Business As | JACKSON SQUARE NURSING & REHAB CENTER |
Entity Type | Organization |
Authorized Contact | JOYCE RUDD Medicare Manager 847-745-6238 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 5074210001) |
Enumeration Date | 2008-10-21 |
Last Update Date | 2008-10-21 |