| NPI | 1275903601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIMON WEBSTER Manager/Member 773-945-1107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2016-05-24 |