Organization Name: | THE RENAISSANCE AT HILLSIDE, INC |
NPI Number: | 1184795312 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | REUVEN LEVITIN (PATIENT ACCOUNTS MANAGER) |
Mailing Address: | 4600 Frontage Rd Hillside |
State: | IL US |
Postal Code: | 601621761 |
Phone Number: | 7085449933 |
Fax Number: | 7085449966 |
NPI Enumeration Date: | 11/10/2006 |
NPI Last Update Date: | 09/14/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BN1400X |
License Number: | 5328130001 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Nursing Facility Supplies |
Taxonomy Definition: |