NPI 1982235396 · live from the CMS NPI Registry
Berg-Lahser Snf, LLC
Skilled Nursing Facility in Detroit, MI. National Provider Identifier 1982235396, active.
NPI record
| NPI | 1982235396 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 21630 Hessel Ave # 1230, Detroit, MI 48219 |
| Practice phone | 312-590-1055 |
| Mailing address | 620 Davis St Ste 200, Evanston, IL 60201 |
| Enumerated | February 4, 2020 |
| Last updated | February 4, 2020 |
| Authorized official | Yair Zuckerman, Ceo |
| Other names | Illuminate Hc Berg-Lahser; Skld Berg -Lahser |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.