| NPI | 1174541809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MCGHEE Controller 217-732-5175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 05-001198-1) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-11-29 |