Organization
CENRAL NURSING HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN MERMELSTEIN (PRESIDENT)
(847) 679-7484
Entity
Organization
Contact information
Practice address
2450 N CENTRAL AVE, CHICAGO, IL 60639-1316
(773) 889-1333
Mailing address
6500 N HAMLIN AVE, LINCOLNWOOD, IL 60712-3904
(847) 679-7484
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
08/28/2015
Last updated
08/08/2019
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