| NPI | 1194977868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY W JENNINGS Controller 217-787-8530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0020131) |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2008-10-14 |