Organization
CHURCH STREET STATION SKILLED NURSING AND LIVING CENTER, LLC
Active
Other names
Claremont Hanover Park
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY FLATT (CFO)
(847) 745-6224
Entity
Organization
Contact information
Practice address
2000 W. LAKE ST., HANOVER PARK, IL 60133
(630) 556-2000
Mailing address
7257 N LINCOLN AVE, LINCOLNWOOD, IL 60712-1810
(847) 745-6226
(847) 556-0446
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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