Organization
EVERCARE OF LEBANON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YEHUDA ROSENBLATT (AUTHORIZED OFFICIAL)
(618) 537-4401
Entity
Organization
Contact information
Practice address
1201 N ALTON ST, LEBANON, IL 62254-1103
(618) 537-4401
Mailing address
3700 OAKTON ST, SKOKIE, IL 60076-3407
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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