| NPI | 1306990601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET P MCDONAGH Partner 618-244-7701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: IL 94S227) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |