# LEGACY GARDENS AT JENA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306712211
- **Authorized official:** ABRAHAM GUTNICKI (MEDICARE AUTHORIZED OFFICIAL)
- **Authorized official phone:** (847) 221-6444

## Contact information

- **Practice address:** 5877 AIMWELL RD, JENA, LA 71342-6001
- **Practice address phone:** (847) 221-6444
- **Mailing address:** 6865 N LINCOLN AVE, LINCOLNWOOD, IL 60712-4611

## Taxonomy

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

## Other

- **Enumeration date:** 10/16/2025
- **Last updated:** 10/16/2025