Organization
MANOR CARE OF KANKAKEE IL LLC
Active
Other names
ManorCare Health Services-Kankakee
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY A LAZARUS (VICE PRESIDENT - REIMBURSEMENTS)
(419) 252-5541
Entity
Organization
Contact information
Practice address
900 W RIVER PL, KANKAKEE, IL 60901-2932
(815) 933-1711
(815) 933-2065
Mailing address
333 N SUMMIT ST, ATTN: BARRY LAZARUS, TOLEDO, OH 43604-1531
(419) 252-5541
(419) 252-5548
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
—
—
314000000X
Skilled Nursing Facility
Primary
0027490
IL
Other
Enumeration date
06/01/2006
Last updated
04/13/2010
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