NPI | 1184894412 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES K KEIGLEY Administrator 618-277-7730 |
Organization Subpart ? | Yes |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IL 6012769) |
Enumeration Date | 2008-03-03 |
Last Update Date | 2008-03-03 |