Organization
LEXINGTON HEALTH CARE CENTER OF LAGRANGE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN SAMATAS (PRESIDENT)
(630) 458-4700
Entity
Organization
Contact information
Practice address
4735 WILLOW SPRINGS RD, LA GRANGE, IL 60525-6130
(708) 352-6900
(708) 482-0239
Mailing address
665 W NORTH AVE, SUITE 500, LOMBARD, IL 60148-1134
(630) 458-4700
(630) 458-4770
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
0038083
IL
314000000X
Skilled Nursing Facility
Primary
0038083
IL
Other
Enumeration date
09/08/2005
Last updated
04/20/2008
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