Organization
VILLA AT LINCOLN PARK, LLC
Active
Other names
Villa Healthcare, The Villa at Lincoln Park
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN ISRAEL (MANAGER)
(847) 440-2660
Entity
Organization
Contact information
Practice address
1700 C A BECKER DR, RACINE, WI 53406-4714
(847) 440-2660
(847) 701-3308
Mailing address
3701 W LUNT AVE, LINCOLNWOOD, IL 60712-2615
(847) 440-2660
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2269
WI
Other
Enumeration date
05/07/2015
Last updated
01/19/2023
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