Organization
BERG-LAHSER SNF, LLC
Active
Other names
SKLD Berg -Lahser, Illuminate HC Berg-Lahser
Organization subpart
No
Provider details
NPI number
Authorized official
YAIR ZUCKERMAN (CEO)
(312) 590-1055
Entity
Organization
Contact information
Practice address
21630 HESSEL AVE # 1230, DETROIT, MI 48219-1230
(312) 590-1055
Mailing address
620 DAVIS ST STE 200, EVANSTON, IL 60201-4419
(773) 620-9107
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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