NPI | 1235380478 |
---|---|
Doing Business As | HAVANA HEALTH CARE CENTER |
Entity Type | Organization |
Authorized Contact | MARK PETERSEN President 309-691-8113 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IL 0046086) |
Enumeration Date | 2008-10-07 |
Last Update Date | 2008-10-07 |