| NPI | 1760579163 |
|---|---|
| Former Legal Business Name | BOURBONNAIS TERRACE |
| Entity Type | Organization |
| Authorized Contact | AVRUM WEINFELD CFO 847-674-5795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IL 0021550) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |