| NPI | 1184783425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER NAZARIAN President/CEO/CFO 618-548-3194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: IL 0002089) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2021-08-25 |