| NPI | 1114199122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNETTA M BYRLEY Billing/Management 618-998-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: IL 036104784) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2008-03-31 |