Organization
SEDGEBROOK OPCO SL-VII LLC
Active
Other names
RADFORD GREEN
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A REIS (AUTHORIZED OFFICIAL)
(203) 222-6262
Entity
Organization
Contact information
Practice address
960 AUDUBON WAY, LINCOLNSHIRE, IL 60069-3886
(847) 901-3319
(847) 876-2403
Mailing address
960 AUDUBON WAY, LINCOLNSHIRE, IL 60069-3886
(847) 901-3319
(847) 876-2403
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/02/2018
Last updated
08/28/2019
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