Long Grove Manor INC
NPI #1912916966 in Long Grove, Illinois
Provider Information
- NPI Number
- 1912916966
- Entity Type
- Organization
- Organization Name
- Long Grove Manor INC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Aug 7, 2006
- Last Updated
- Feb 9, 2012
Practice Location
- Address
- 1666 CHECKER RD
- City
- Long Grove
- State
- Illinois
- ZIP Code
- 60047-5289
- Phone
- (847) 419-1111
Authorized Official
- Name
- GLENN LEFKOVITZ
- Title
- MANAGER
- Phone
- (224) 377-2400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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