Basic Information
| Provider Information | |||||||||
| NPI: | 1710278825 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | FATHER MURRAY NURSING AND REHABILITATION CENTRE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3701 W LUNT AVE | ||||||||
| Address2: | |||||||||
| City: | LINCOLNWOOD | ||||||||
| State: | IL | ||||||||
| PostalCode: | 607122615 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8474402660 | ||||||||
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| Practice Location | |||||||||
| Address1: | 8444 ENGLEMAN | ||||||||
| Address2: | |||||||||
| City: | CENTER LINE | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480151567 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5867552400 | ||||||||
| FaxNumber: | 5867558006 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/22/2011 | ||||||||
| LastUpdateDate: | 03/18/2021 | ||||||||
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| AuthorizedOfficialLastName: | ROBERTS | ||||||||
| AuthorizedOfficialFirstName: | SHERRY | ||||||||
| AuthorizedOfficialMiddleName: | ANNE | ||||||||
| AuthorizedOfficialTitleorPosition: | CFO | ||||||||
| AuthorizedOfficialTelephone: | 8476747600 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 03/18/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 314000000X | Y | Nursing & Custodial Care Facilities | Skilled Nursing Facility |
No ID Information.