| NPI | 1275764466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAIRE JANE MATHENY Administrator 217-443-3106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0046532) |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2009-08-05 |