| NPI | 1003002650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA KELLY Administrator 773-471-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: IL 0001) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2022-07-21 |