| NPI | 1255345542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW JAMES FEUCHT Administrator 309-691-8091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0006353) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2011-12-12 |