| NPI | 1073786562 |
|---|---|
| Doing Business As | MARIGOLD ESTATES |
| Entity Type | Organization |
| Authorized Contact | RICH SLOAN Rsd 309-347-6514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: IL 0039370) |
| Additional Taxonomies | 343800000X Secured Medical Transport (VAN) (Licence: IL 0039370) |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2008-06-24 |