Organization
SOUTH HOLLAND MANOR HRC LLC
Active
Other names
South Holland Manor Health & Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEVI ISRAEL (CEO)
(847) 905-3000
Entity
Organization
Contact information
Practice address
2145 E 170TH ST, SOUTH HOLLAND, IL 60473-3788
(708) 895-3255
Mailing address
2201 MAIN ST, EVANSTON, IL 60202-1519
(847) 905-3000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0055053
IL DEPARTMENT OF PUBLIC HEALTH
IL
Enumeration date
10/30/2018
Last updated
08/11/2025
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