| NPI | 1265532980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BOWSER CFO 309-852-7522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: IL 0005538) |
| Additional Taxonomies | 275N00000X Medicare Defined Swing Bed Unit |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2022-07-21 |