| NPI | 1205918794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD D ISAIA Administrator 309-923-2071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0021493) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2016-07-27 |