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Organization

CARRIAGE SQUARE LIVING & REHAB CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALBERT MILSTEIN (OWNER)
(847) 982-2300
Entity
Organization

Contact information

Practice address
4009A GENE FIELD RD, SAINT JOSEPH, MO 64506-1864
(816) 364-1526
Mailing address
7434 SKOKIE BLVD, SKOKIE, IL 60077-3341
(847) 982-2300
(847) 982-2304

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
042269
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101481703
MO
Enumeration date
07/09/2014
Last updated
12/09/2014
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