Organization
PRAIRIE CROSSING ASSISTED LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOSHE HERMAN (MEMBER)
(847) 982-2300
Entity
Organization
Contact information
Practice address
407 W COMANCHE AVE, SHABBONA, IL 60550-9501
(815) 824-8480
(815) 824-2412
Mailing address
7434 SKOKIE BLVD, SKOKIE, IL 60077-3341
(847) 982-2300
(847) 982-2304
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
IL
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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