| NPI | 1134405392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY BROCKINGTON Executive Director 708-957-7815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2011-11-01 |