Organization
RANCHO MANOR HEALTHCARE AND REHAB CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID ZUCKERMAN (COMPTROLLER)
(847) 982-2300
Entity
Organization
Contact information
Practice address
615 RANCHO LN, FLORISSANT, MO 63031-1717
(314) 839-2150
(314) 839-8736
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
—
—
Other
Enumeration date
10/19/2006
Last updated
03/30/2015
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