Organization
GARDENVIEW MANOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARAK BAVER (OWNER)
(773) 575-2222
Entity
Organization
Contact information
Practice address
8170 MCCORMICK BLVD, SUITE 118, SKOKIE, IL 60076-2961
(847) 674-2800
(847) 674-4133
Mailing address
14792 CATLIN TILTON RD, DANVILLE, IL 61834-5116
(217) 443-6430
(217) 443-1558
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0052456
IL
Other
Enumeration date
08/22/2013
Last updated
12/20/2013
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