| NPI | 1346315165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW J RIEHLE Chief Operating Officer 309-663-6474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0028191) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: IL 164606) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2022-03-24 |