Organization
PRESENCE NAZARETHVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHEAL GORDON (PRESIDENT)
(708) 478-7911
Entity
Organization
Contact information
Practice address
300 N RIVER RD, DES PLAINES, IL 60016-1211
(847) 297-5900
(847) 297-0504
Mailing address
300 N RIVER RD, DES PLAINES, IL 60016-1211
(847) 297-5900
(847) 297-0504
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
0021790
IL
Other
Enumeration date
08/09/2005
Last updated
05/03/2013
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