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Organization
PLYMOUTH COURT SNF, LLC
Active
Organization
PLYMOUTH COURT SNF, LLC
Active
Other names
Illuminate HC Plymouth, SKLD Plymouth
Organization subpart
No
Provider details
NPI number
Authorized official
YAIR ZUCKERMAN (MANAGER)
(773) 517-4777
Entity
Organization
Contact information
Practice address
105 N HAGGERTY RD, PLYMOUTH, MI 48170
(734) 455-0510
Mailing address
620 DAVIS ST STE 200, EVANSTON, IL 60201-4419
(312) 590-1055
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/09/2018
Last updated
08/17/2018
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