Organization
GROSSE POINTE MANOR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARSHALL A MAUER (CONTROLLER)
(847) 679-8219
Entity
Organization
Contact information
Practice address
6601 W TOUHY AVE, NILES, IL 60714-4515
(847) 647-9875
Mailing address
3359 MAIN ST, SKOKIE, IL 60076-2432
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0045203
IL
Other
Enumeration date
12/29/2005
Last updated
11/17/2011
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