NPI | 1023082583 |
---|---|
Entity Type | Organization |
Authorized Contact | BARBARA A FINNIE Administrator 618-268-4631 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IL 0020719) |
Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: IL 0020719) |
Enumeration Date | 2006-02-13 |
Last Update Date | 2020-08-22 |