NPI | 1215914270 |
---|---|
Entity Type | Organization |
Authorized Contact | MARSHALL A MAUER Controller 847-679-8219 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0045203) |
Enumeration Date | 2005-12-29 |
Last Update Date | 2011-11-17 |