NPI | 1093783896 |
---|---|
Entity Type | Organization |
Authorized Contact | DONALD HUTSON President/CEO 618-253-7671 |
Organization Subpart ? | Yes |
Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: IL 0000521) |
Enumeration Date | 2006-03-09 |
Last Update Date | 2018-04-04 |