Organization
FOUNTAINS CRYSTAL LAKE SL LLC
Active
Other names
FOUNTAINS AT CRYSTAL LAKE
Organization subpart
No
Provider details
NPI number
Authorized official
GRETA FRUHLING FRAZIER (DIRECTOR)
(520) 797-4000
Entity
Organization
Contact information
Practice address
1000 E BRIGHTON LN, CRYSTAL LAKE, IL 60012-2074
(815) 455-8400
(815) 477-6502
Mailing address
965 N BRIGHTON CIR, CRYSTAL LAKE, IL 60012-2036
(815) 455-8400
(815) 477-6502
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0047217
IL
Other
Enumeration date
05/18/2006
Last updated
06/16/2010
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