Organization
TRI-STATE VILLAGE NURSING AND REHABILITATION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MASHIACH (MANAGER)
(708) 474-7391
Entity
Organization
Contact information
Practice address
2500 175TH ST, LANSING, IL 60438-1801
(708) 474-7330
Mailing address
2500 175TH ST, LANSING, IL 60438-1801
(708) 474-7330
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/11/2018
Last updated
12/11/2018
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