Organization
VILLA AT SOUTH HOLLAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEN ISRAEL (MANAGER)
(847) 447-2660
Entity
Organization
Contact information
Practice address
16300 WAUSAU AVE, SOUTH HOLLAND, IL 60473-2158
(708) 598-5500
(708) 598-5527
Mailing address
16300 WAUSAU AVE, SOUTH HOLLAND, IL 60473-2158
(708) 598-5500
(708) 598-5527
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0052340
IL
Other
Enumeration date
05/07/2013
Last updated
04/27/2021
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