| NPI | 1760429203 |
|---|---|
| Doing Business As | PROMEDICA SKILLED NURSING AND REHABILITATION (LIBERTYVILLE) |
| Entity Type | Organization |
| Authorized Contact | MARTIN D ALLEN Director 419-252-5734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0032904) |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2023-02-28 |