Plaza Terrace Nursing Home
NPI #1255305165 in Midlothian, Illinois
Provider Information
- NPI Number
- 1255305165
- Entity Type
- Organization
- Organization Name
- Plaza Terrace Nursing Home
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Feb 15, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3249 W 147TH STREET
- City
- Midlothian
- State
- Illinois
- ZIP Code
- 60445
- Phone
- (708) 389-3141
Authorized Official
- Name
- MRS. LATONYA ELOISE DAVIS, RN
- Title
- ADMINISTRATOR
- Phone
- (708) 389-3141
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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