| NPI | 1164479051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY JENNINGS Controller 217-787-8530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0020131) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-08-22 |