Organization
IH LISLE OPCO, LLC
Active
Other names
THRIVE LISLE
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD HABER (MANAGER)
(331) 249-6200
Entity
Organization
Contact information
Practice address
2850 OGDEN AVENUE, LISLE, IL 60532
(331) 249-6200
Mailing address
2850 OGDEN AVENUE, LISLE, IL 60532
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/03/2020
Last updated
09/20/2021
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