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General NPI Number Information
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NPI Number | 1043173594
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Entity Type | Organization
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Legal Business Name | LENA NURSING LLC
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 1010 S LOGAN ST
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City | LENA
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State | IL
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Zip | 61048-9566
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Country | US
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Telephone | 815-369-4561
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Fax |
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Provider Business Mailing Address
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Address Line | 1 WESTBROOK CORPORATE CTR STE 300
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City | WESTCHESTER
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State | IL
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Zip | 60154-5709
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | JENNIFER DAUGHERTY
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Credential |
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Telephone | 815-369-4561
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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