Organization
THE TERRACE NH OPERATOR LLC
Active
Other names
the terrace
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AVRUM WEINFELD (CFO)
(847) 674-5795
Entity
Organization
Contact information
Practice address
1615 SUNSET AVE, WAUKEGAN, IL 60087-3810
(847) 244-6700
(847) 244-7925
Mailing address
6865 N LINCOLN AVE, LINCOLNWOOD, IL 60712-4611
(847) 674-5795
(847) 674-5794
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0043943
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
364228300001
—
IL
Enumeration date
10/04/2006
Last updated
08/08/2007
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