| NPI | 1891168878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOSEF MEYSTEL Member 847-673-6767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2019-09-10 |