| NPI | 1043595853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLANCA E ANDON Speech Language Pathologist 309-737-8178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA 002133) |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2011-10-13 |