Organization
PHEM, LLC
Active
Other names
Edgewood Manor Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN KLEIN (MANAGER)
(847) 329-4100
Entity
Organization
Contact information
Practice address
11900 JESSICA LN, RAYTOWN, MO 64138-2649
(816) 358-7858
Mailing address
7444 LONG AVE, SKOKIE, IL 60077-3214
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/09/2010
Last updated
03/25/2015
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