NPI | 1174529614 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID LUBOWSKY Bookkeeper 847-679-7484 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IL 000043174) |
Enumeration Date | 2005-06-21 |
Last Update Date | 2020-08-22 |