NPI | 1932497625 |
---|---|
Doing Business As | PRESENCE NAZARETHVILLE |
Entity Type | Organization |
Authorized Contact | MICHAEL GORDON CFO 708-478-7911 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 2039876) |
Enumeration Date | 2011-07-14 |
Last Update Date | 2021-09-10 |