| 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 |