Organization
LAKE NORDEN SD SKILLED NURSING FACILITY LLC
Active
Other names
Avantara Lake Norden
Organization subpart
No
Provider details
NPI number
Authorized official
CHAIM RAJCHENBACH (CEO/PRINCIPAL)
(847) 679-9797
Entity
Organization
Contact information
Practice address
803 PARK STREET, LAKE NORDEN, SD 57248-0139
(605) 785-3654
(605) 785-3578
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
05/13/2019
Last updated
05/13/2019
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