NPI | 1235126012 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSIE DAVIS Director Of Nursing 309-344-1300 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0047233) |
Enumeration Date | 2005-10-05 |
Last Update Date | 2020-08-22 |