Plymouth Place, Inc. in La Grange Park - Skilled Nursing Facility

Plymouth Place, Inc. - NPI 1497884696

Plymouth Place, Inc. is a Skilled Nursing Facility in La Grange Park, Illinois. Plymouth Place, Inc. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Plymouth Place, Inc. is 1497884696. The last update date is 2013-07-29.

Plymouth Place, Inc.'s current location address is 315 N. La Grange Road, La Grange Park, Illinois. You can contact this provider via phone number 7084826668. The mailing address for Plymouth Place, Inc. is 315 N. La Grange Road, La Grange Park, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Plymouth Place, Inc.
Address 315 N. La Grange Road, La Grange Park, Illinois
Phone Number 7084826668
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position C.E.O.
Authorized Official Name Lilburn Dale
Telephone Number 7084826668

NPI Number Detail

NPI Number 1497884696
Provider Enumeration Date 2007-03-05
Last Updated Date 2013-07-29

Provider Mailing Address Detail

Address 315 N. La Grange Road
City La Grange Park
State Illinois (IL)
Post Code 605265695
Phone Number 7084826668
Fax Number

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No 12898
Definition:
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv

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FAQs about Plymouth Place, Inc.

What is the unique 10-digit identification code issued to Plymouth Place, Inc. by the Centers for Medicare & Medicaid Services?

The Plymouth Place, Inc. has been assigned the NPI (National Provider Identifier) 1497884696 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Plymouth Place, Inc. is located?

The Plymouth Place, Inc. is situated at the following address: 315 N. La Grange Road, La Grange Park, IL, 605265695.

What is Plymouth Place, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Plymouth Place, Inc. is Skilled Nursing Facility, and the taxonomy code that categorizes this field of expertise is 314000000X.

On what date did the Plymouth Place, Inc. receive its 1497884696 assignment from the Centers for Medicare & Medicaid Services?

The Plymouth Place, Inc. was assigned its 1497884696 by the Centers for Medicare & Medicaid Services on 2007-03-05.

As of what date was the information regarding Plymouth Place, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Plymouth Place, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-07-29.

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