Organization
LAUREATE TERRACE OPERATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAUN AHMAD (MANAGER)
(704) 426-8849
Entity
Organization
Contact information
Practice address
1615 SUNSET AVE, WAUKEGAN, IL 60087-3810
(847) 244-6700
(847) 244-7925
Mailing address
13024 BALNTYN CORP PL STE 425, CHARLOTTE, NC 28277-4420
(704) 426-8849
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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