NPI | 1366055899 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIE SHANMARTIN Controller 708-722-2946 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
Enumeration Date | 2020-08-25 |
Last Update Date | 2020-08-25 |