NPI | 1053685768 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIA LOUELA ANNE MENDOZA CRUZ Administrator 815-322-2365 |
Organization Subpart ? | No |
Primary Taxonomy | 315D00000X Hospice, Inpatient (Licence: IL 315D00000X) |
Enumeration Date | 2012-02-27 |
Last Update Date | 2013-02-13 |