Organization
PHGG, LLC
Active
Other names
Georgian Gardens
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN KLEIN (MANAGER)
(847) 329-4100
Entity
Organization
Contact information
Practice address
1 GEORGIAN GARDENS DR, POTOSI, MO 63664-1436
(573) 438-6261
Mailing address
7444 LONG AVE, SKOKIE, IL 60077-3214
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/09/2010
Last updated
03/25/2015
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