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You're suggesting an update to Lake County Nursing And Rehabilitation Center, East Chicago, IN.
What should each field say? Leave a field blank to leave it as it is. Only the fields you change are sent.

Current: LAKE COUNTY NURSING AND REHABILITATION CENTER

Current: 5025 MCCOOK AVE

Current: EAST CHICAGO

Current: IN

Current: 46312

Current: 2193970380

Current: (none listed)

Current: (none listed)

Current: (none listed)

Current: (none listed)

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