Fountains Crystal Lake Sl LLC
NPI #1720031156 in Crystal Lake, Illinois
Provider Information
- NPI Number
- 1720031156
- Entity Type
- Organization
- Organization Name
- Fountains Crystal Lake Sl LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 18, 2006
- Last Updated
- Jun 16, 2010
Practice Location
- Address
- 1000 E BRIGHTON LN
- City
- Crystal Lake
- State
- Illinois
- ZIP Code
- 60012-2074
- Phone
- (815) 455-8400
Authorized Official
- Name
- GRETA FRUHLING FRAZIER
- Title
- DIRECTOR
- Phone
- (520) 797-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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