| NPI | 1386094068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANIE DIONNE JOHNSON Home Health RN 708-369-1329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IL 041379716) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-06-14 |