| NPI | 1417095266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA ANN MCCLUNG Lnha 217-875-1973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0021501) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-08-22 |