NPI | 1932540499 |
---|---|
Doing Business As | LAVERNA VILLAGE OF ST JOSEPH |
Entity Type | Organization |
Authorized Contact | BENJAMIN KLEIN Manager 847-329-4100 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2013-07-12 |
Last Update Date | 2015-04-15 |