NPI | 1649276080 |
---|---|
Entity Type | Organization |
Authorized Contact | MENACHEM SHABAT Administrator 773-478-2000 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0024463) |
Enumeration Date | 2005-06-21 |
Last Update Date | 2022-05-27 |