Organization
GOLDWATER PONTIAC NURSING HOME LLC
Active
Other names
Goldwater Care Pontiac, GOLDWATER PONTIAC NURSING HOME
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER SPECTOR (VP OF REVENUE CYCLE MANAGEMENT)
(847) 262-3800
Entity
Organization
Contact information
Practice address
1225 S EWING DR, PONTIAC, IL 61764-9701
(815) 844-5121
Mailing address
4655 W CHASE AVE, LINCOLNWOOD, IL 60712-1605
(184) 726-2380
(847) 996-2151
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/09/2022
Last updated
09/25/2025
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