| NPI | 1144240193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY SPOUR President 618-542-1089 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: IL 0000414) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2023-12-28 |