| NPI | 1376706010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOMARIE SILVER Administrator 630-235-1013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IL 0010371) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: IL 0010371) |
| 385H00000X Respite Care (Licence: IL 0010371) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2022-06-29 |