NPI 1659368264

Gaf/Lake Cook Terrace

Organisation Custodial Care Facility Northbrook, IL

Practice location

Address: 263 Skokie Blvd, Northbrook, IL 60062-1611
Phone: (847) 564-0505

Authorised official

Name: Melody Goodman
Title: Mds Coordinator
Phone: (847) 564-0505

Registered specialties

Custodial Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311Z00000X

Other Custodial Care Facility providers in Illinois →

Registry record

NPI: 1659368264
Entity type: Organization
NPI issued: 29 Sep 2005
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.