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Organization

SALEM SD SKILLED NURSING FACILITY LLC

Active
Other names
Avantara Salem
Organization subpart
No

Provider details

NPI number
Authorized official
MENACHEM SHABAT (COO/PRINCIPAL)
(847) 679-9797
Entity
Organization

Contact information

Practice address
500 COLONIAL DR, SALEM, SD 57058-8719
(605) 425-2203
(605) 425-2255
Mailing address
3450 OAKTON ST, SKOKIE, IL 60076-2951
(847) 679-9797
(847) 679-1126

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Enumeration date
05/14/2019
Last updated
05/14/2019
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