Fountains Crystal Lake Sl Llc

NPI 1720031156 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1720031156
Enumeration Date 05/18/2006
Last Updated 06/16/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name GRETA FRUHLING GRETA
Position DIRECTOR
Phone (815) 455-8400
Fax (815) 477-6502
Practice Location
1000 E BRIGHTON LN
CRYSTAL LAKE IL, 60012-2074, US
Phone (815) 455-8400
Fax (815) 477-6502
Business Location
965 N BRIGHTON CIR
CRYSTAL LAKE IL, 60012-2036, US
Phone (815) 455-8400
Fax (815) 477-6502
Toxanomy
Taxonomy Code 314000000X
License State Illinois
License Number 0047217
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According to our database, Fountains Crystal Lake Sl Llc NPI is 1720031156, taxonomy code is 314000000X and license number is 0047217, license state is located at Illinois. Fountains Crystal Lake Sl Llc physically located at 1000 E Brighton Ln, Crystal Lake IL, 60012-2074. NPI Number 1033115704 has the healthcare provider type.

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1720031156 NPI number is provided on an as is basis without warranty of any kind. 1720031156 is maintained by the National Plan & Provider Enumeration System. The contents of Fountains Crystal Lake Sl Llc are for informational purposes only.