| 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 |