NPI | 1275609109 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN D. BURNSIDE CEO 217-854-3141 |
Organization Subpart ? | No |
Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: IL 0000182) |
Enumeration Date | 2006-11-24 |
Last Update Date | 2025-03-18 |