Organization
PCNR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN KLEIN (MANAGER)
(847) 329-4100
Entity
Organization
Contact information
Practice address
6120 MORNINGSIDE AVE, SIOUX CITY, IA 51106-3943
(712) 276-3000
Mailing address
7444 LONG AVE, SKOKIE, IL 60077-3214
(847) 329-4100
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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