NPI | 1770533960 |
---|---|
Entity Type | Organization |
Authorized Contact | MENACHEM SHABAT Owner 773-743-7711 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 1738852) |
Enumeration Date | 2006-05-11 |
Last Update Date | 2020-08-22 |