Organization
IPSWICH SD SKILLED NURSING FACILITY LLC
Active
Other names
Avantara Ipswich
Organization subpart
No
Provider details
NPI number
Authorized official
MENACHEM SHABAT (COO/PRINCIPAL)
(847) 679-9797
Entity
Organization
Contact information
Practice address
617 BLOEMENDAAL DRIVE, IPSWICH, SD 57451
(605) 426-6622
(605) 426-6565
Mailing address
3450 OAKTON ST, SKOKIE, IL 60076-2951
(847) 679-9797
(847) 679-1126
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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