NPI | 1215937867 |
---|---|
Entity Type | Organization |
Authorized Contact | RUTH MARY STOWE Director Of Accounting 217-223-2636 |
Organization Subpart ? | No |
Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) (Licence: IL 0011643) |
Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IL 0011643) |
314000000X Skilled Nursing Facility (Licence: IL 0011643) | |
Enumeration Date | 2005-07-26 |
Last Update Date | 2020-08-22 |