| NPI | 1336138411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE B PLUMMER Owner 618-498-6427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IL 0020206) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2020-08-22 |