Organization
GROVE AT THE LAKE LIVING AND REHABILITATION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REUVEN LEVITIN (AR MANAGER)
(847) 676-5307
Entity
Organization
Contact information
Practice address
2534 ELIM AVE, ZION, IL 60099-2661
(847) 746-8435
Mailing address
7040 N RIDGEWAY AVE, LINCOLNWOOD, IL 60712-2620
(847) 679-9797
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2019775
IL
Other
Enumeration date
08/12/2011
Last updated
08/12/2011
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