| NPI | 1144794207 |
|---|---|
| Doing Business As | CHAMPAIGN LIVING CENTER |
| Entity Type | Organization |
| Authorized Contact | WILLIAM ROTHNER Manager LLC 847-905-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2019-01-11 |