NPI | 1346579398 |
---|---|
Entity Type | Organization |
Authorized Contact | TINNA MARIE R. BOLONGAN Physical Therapist 773-679-4006 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: IL 070015702) |
Enumeration Date | 2009-12-21 |
Last Update Date | 2009-12-21 |