Organization
VILLA AT BRYN MAWR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN ISRAEL (DIRECTOR)
(847) 440-2655
Entity
Organization
Contact information
Practice address
275 PENN AVE N, MINNEAPOLIS, MN 55405-1216
(612) 377-4723
(612) 377-0294
Mailing address
3701 W LUNT AVE, LINCOLNWOOD, IL 60712-2615
(847) 440-2660
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/19/2013
Last updated
03/18/2021
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