Organization
NEW LEBANON SNF, LLC
Active
Other names
SKLD New Lebanon, Illuminate HC New Lebanon
Organization subpart
No
Provider details
NPI number
Authorized official
YAIR ZUCKERMAN (CEO)
(312) 590-1055
Entity
Organization
Contact information
Practice address
101 MILLS PL, NEW LEBANON, OH 45345-1430
(312) 590-1055
Mailing address
620 DAVIS ST STE 200, EVANSTON, IL 60201-4419
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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