| NPI | 1396840153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMA MCLEOD CEO/Administrator 217-223-8717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 1719820) |
| Additional Taxonomies | 311Z00000X Custodial Care Facility (Licence: IL 1719820) |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IL 1719820) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2022-05-19 |