Organization
SENECA NURSING HOME, INC.
Active
Other names
Lee Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHESTER PLODZIEN (OWNER)
(847) 635-4000
Entity
Organization
Contact information
Practice address
1301 LEE ST, DES PLAINES, IL 60018-1514
(847) 635-4000
(847) 635-5016
Mailing address
1301 LEE ST, DES PLAINES, IL 60018-1514
(847) 635-4000
(847) 635-5016
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0024356
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50395
BLUECROSS BLUESHIELD - IL
—
Enumeration date
11/14/2005
Last updated
02/09/2012
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