Organization
CENTER FOR SENIORS
Active
Other names
LINCOLN CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAE KWQAN HA (EXECUTIVE DIRECTOR)
(847) 965-2010
Entity
Organization
Contact information
Practice address
5844 LINCOLN AVE, MORTON GROVE, IL 60053-3344
(847) 965-2010
Mailing address
5844 LINCOLN AVE, MORTON GROVE, IL 60053-3344
(847) 965-2010
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
ADS1013007
IL
Other
Enumeration date
02/07/2014
Last updated
02/20/2014
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