Organization
WATERS OF MCKENZIE A REHABILITATION & NURSING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BLISKO (OWNER)
(708) 449-1900
Entity
Organization
Contact information
Practice address
14510 HIGHWAY 79, MC KENZIE, TN 38201-7824
(731) 352-5317
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
05/18/2022
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