| NPI | 1326110594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH ANN QUICK Vice President 618-244-7701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: IL 96S007) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-08-22 |