Organization
LIBERTYVILLE MANOR EXTENDED CARE FACILITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GINA GAMBLE (OFFICE MANAGER)
(847) 367-6100
Entity
Organization
Contact information
Practice address
610 PETERSON RD, (HIGHWAY #137), LIBERTYVILLE, IL 60048-1014
(847) 367-6100
(847) 680-2030
Mailing address
610 PETERSON RD, (HIGHWAY #137), LIBERTYVILLE, IL 60048-1014
(847) 367-6100
(847) 680-2030
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0017780
IL
Other
Enumeration date
10/17/2005
Last updated
05/07/2009
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