Organization
GLEN SAINT ANDREW LIVING COMMUNITY, LLC
Active
Other names
Glen Saint Andrew Living Comm
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA D RAY (CHIEF OF OPERATIONS)
(847) 421-3851
Entity
Organization
Contact information
Practice address
5454 FARGO AVE, SKOKIE, IL 60077-3210
(847) 674-7370
Mailing address
7000 N NEWARK AVE, NILES, IL 60714-4577
(847) 647-8332
(847) 647-7073
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0053348
IL
Other
Enumeration date
12/22/2014
Last updated
12/22/2014
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