Organization
GLEN SAINT ANDREW LIVING COMMUNITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHERINE F ALLEN (CHIEF FINANCIAL OFFICER)
(847) 674-5454
Entity
Organization
Contact information
Practice address
7000 N NEWARK AVE, NILES, IL 60714-4577
(847) 647-8332
(847) 647-7073
Mailing address
5454 FARGO AVE, SKOKIE, IL 60077-3210
(847) 674-5454
(847) 674-8311
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
IL
313M00000X
Nursing Facility/Intermediate Care Facility
—
IL
314000000X
Skilled Nursing Facility
Primary
—
IL
Other
Enumeration date
10/28/2014
Last updated
01/27/2016
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