Organization
THE VILLA AT SOUTH HOLLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN ISRAEL (DIRECTOR)
(847) 692-1152
Entity
Organization
Contact information
Practice address
6400 SHAFER CT, SUITE 700, ROSEMONT, IL 60018-4914
(847) 825-5386
Mailing address
16300 WAUSAU AVE, SOUTH HOLLAND, IL 60473-2158
(708) 596-5500
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/22/2013
Last updated
04/22/2013
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