Organization
WOODBINE NURSING HOME LLC
Active
Other names
THE WOODBINE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARAK BAVER (CFO)
(773) 202-0000
Entity
Organization
Contact information
Practice address
6909 NORTH AVE, OAK PARK, IL 60302-1008
(708) 386-1112
(708) 524-4818
Mailing address
4055 W PETERSON AVE, SUITE 101, CHICAGO, IL 60646-6182
(773) 202-0000
(773) 267-0111
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0044446
IL
Other
Enumeration date
10/20/2005
Last updated
08/22/2020
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