South Holland Home, LLC
NPI #1053768150 in South Holland, Illinois
Provider Information
- NPI Number
- 1053768150
- Entity Type
- Organization
- Organization Name
- South Holland Home, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- May 18, 2016
- Last Updated
- May 18, 2016
Practice Location
- Address
- 16300 LOUIS AVE
- City
- South Holland
- State
- Illinois
- ZIP Code
- 60473-2281
- Phone
- (708) 596-3050
Authorized Official
- Name
- MR. BENJAMIN ISRAEL
- Title
- MANAGER
- Phone
- (847) 440-2660
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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