NPI | 1700433703 |
---|---|
Doing Business As | AVANTARA NORTON |
Entity Type | Organization |
Authorized Contact | MENACHEM SHABAT COO/Principal 847-679-9797 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2019-08-23 |
Last Update Date | 2019-08-23 |