| NPI | 1225079684 |
|---|---|
| Doing Business As | ROSEVILLE COUNTRY MANOR |
| Entity Type | Organization |
| Authorized Contact | NEIL D. OSTLIE Administrator 309-426-2134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 47654) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2020-08-22 |