| NPI | 1205824018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY SUE BONNEY Administrator 309-837-2386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0043679) |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2020-08-22 |