# CRG LYNWOOD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lynwood Manor Healthcare Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023315421
- **Authorized official:** ABRAHAM GUTNICKI (MEMBER)
- **Authorized official phone:** (847) 933-9280

## Contact information

- **Practice address:** 730 KIMOLE LN, ADRIAN, MI 49221-1463
- **Practice address phone:** (517) 263-6771
- **Practice address fax:** (517) 265-8599
- **Mailing address:** 4711 GOLF RD, SUITE 200, SKOKIE, IL 60076-1224
- **Mailing address phone:** (847) 933-9280

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 02/21/2011
- **Last updated:** 12/17/2014