NPI | 1073731709 |
---|---|
Entity Type | Organization |
Authorized Contact | MARLA DRURY Administrator 815-626-1121 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: IL 0035444) |
Enumeration Date | 2007-04-20 |
Last Update Date | 2020-08-22 |