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NPI Code Detail

MEDICARE: TWIN CITIES NURSING & REHAB LLC

MEDICARE: TWIN CITIES NURSING & REHAB LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1316541048
Entity Type Code : Organization
Provider Name (Legal Business Name) : TWIN CITIES NURSING & REHAB LLC
Provider Business Mailing Address
First Line : 4655 W CHASE AVE
Second Line :
City : LINCOLNWOOD
State : IL
Zip : 60712-1605
Country : US
Telephone Number : 847-262-3800
Fax Number :
Provider Business Practice Location Address
First Line : 1385 E EMPIRE AVE
Second Line :
City : BENTON HARBOR
State : MI
Zip : 49022-2037
Country : US
Telephone Number : 269-925-0033
Fax Number :
Authorized Official
Title or Position : CEO
Name : YOSEF MEYSTEL
Credential :
Telephone Number : 847-262-3800
Provider Enumeration Date : 11/23/2020
Last Update Date : 11/23/2020

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Directions to “TWIN CITIES NURSING & REHAB LLC ” Practice Location

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