Gaf/lake Cook Terrace
NPI #1659368264 in Northbrook, Illinois
Provider Information
- NPI Number
- 1659368264
- Entity Type
- Organization
- Organization Name
- Gaf/lake Cook Terrace
- Primary Specialty
- Custodial Care Facility
- Enumeration Date
- Sep 29, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 263 SKOKIE BLVD
- City
- Northbrook
- State
- Illinois
- ZIP Code
- 60062-1611
- Phone
- (847) 564-0505
Authorized Official
- Name
- MELODY GOODMAN
- Title
- MDS COORDINATOR
- Phone
- (847) 564-0505
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility |
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