| NPI | 1316334907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA DEAN Owner 773-754-5829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: IL 3001084) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2015-04-21 |