| NPI | 1023343308 |
|---|---|
| Other Name | NONE |
| Entity Type | Organization |
| Authorized Contact | GERI P. JOHNSON Administrator 815-468-6896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: IL 5100943) |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2009-10-05 |