Organization
SNOW VALLEY NURSING AND REHABILITATION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK STEINBERG (CHIEF OPERATING OFFICER)
(847) 905-3000
Entity
Organization
Contact information
Practice address
5000 LINCOLN AVE, LISLE, IL 60532-2117
(630) 852-5100
(630) 852-5148
Mailing address
5000 LINCOLN AVE, LISLE, IL 60532-2117
(630) 852-5100
(630) 852-5148
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0046185
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50248
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/20/2007
Last updated
05/28/2008
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