WAUKEGAN TERRACE is an intermediate care facility mental illness in Waukegan, IL. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. WAUKEGAN TERRACE NPI is 1568413821. The provider is registered as an organization entity type.
The provider Is Doing Business As Lake Park Center,llc.
The provider's business location address is:
919 WASHINGTON PARK
WAUKEGAN, IL
ZIP 60085-258
Phone: (847) 623-9100
Fax: (847) 623-9179
The provider's authorized official is Avrum Weinfeld .
The authorized official title is Ce0 and has the following contact phone number (847) 674-5795.
The CLIA number assigned to this NPI record is 14D0414504 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/12/2006 and was last updated on 10/30/2020.