NPI | 1316215536 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIDGID MERKLE Speech Language Pathologist 708-254-0030 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 146010426) |
Enumeration Date | 2011-12-02 |
Last Update Date | 2011-12-02 |