| NPI | 1417691437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRINE ANN CLARK Owner 630-460-7028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 174200000X Meals |
| 177F00000X Lodging | |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| 310400000X Assisted Living Facility | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2022-04-26 |