NPI | 1285718478 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES BOHLMANN CEO 815-432-7735 |
Organization Subpart ? | No |
Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: IL 0001107) |
Enumeration Date | 2006-10-24 |
Last Update Date | 2015-05-27 |