Healthcare Provider Details
I. General information
NPI: 1093225344
Provider Name (Legal Business Name): APERION CARE MORTON TERRACE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/01/2017
Last Update Date: 10/01/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
191 E QUEENWOOD RD
MORTON IL
61550-2956
US
IV. Provider business mailing address
4655 W CHASE AVE
LINCOLNWOOD IL
60712-1605
US
V. Phone/Fax
- Phone: 309-266-5331
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
YOSEF
MEYSTEL
Title or Position: MANAGER
Credential:
Phone: 847-262-3800