| NPI | 1013011618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASPER J PURVIS CEO 618-262-8621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: IL 0002865) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2020-08-22 |