NPI | 1376960039 |
---|---|
Entity Type | Organization |
Authorized Contact | CARL BAKER Executive Director 630-230-9502 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0002584) |
Enumeration Date | 2014-03-19 |
Last Update Date | 2014-03-19 |