Organization
PLAZA TERRACE NURSING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATONYA ELOISE DAVIS RN (ADMINISTRATOR)
(708) 389-3141
Entity
Organization
Contact information
Practice address
3249 W 147TH STREET, MIDLOTHIAN, IL 60445
(708) 389-3141
(708) 396-1626
Mailing address
3249 W 147TH STREET, MIDLOTHIAN, IL 60445
(708) 389-3141
(708) 396-1626
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1566662
IL
Other
Enumeration date
02/15/2006
Last updated
08/22/2020
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