Grosse Pointe Manor, LLC

NPI #1215914270 in Niles, Illinois

Provider Information

NPI Number
1215914270
Entity Type
Organization
Organization Name
Grosse Pointe Manor, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Dec 29, 2005
Last Updated
Nov 17, 2011

Practice Location

Address
6601 W TOUHY AVE
City
Niles
ZIP Code
60714-4515
Phone
(847) 647-9875

Authorized Official

Name
MR. MARSHALL A MAUER
Title
CONTROLLER
Phone
(847) 679-8219

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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