Organization
AGAPE REHABILITATION & NURSING CENTER A WATERS COMMUNITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BLISKO (OWNER)
(708) 449-1900
Entity
Organization
Contact information
Practice address
505 N ROAN ST, JOHNSON CITY, TN 37601-4740
(423) 975-2000
Mailing address
240 FENCL LN, HILLSIDE, IL 60162-2067
(708) 449-1900
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/08/2021
Last updated
11/10/2021
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