| NPI | 1447239728 |
|---|---|
| Other Name | BED WING |
| Entity Type | Organization |
| Authorized Contact | BRETT L STAHL Projects Coordinator 309-734-1431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2020-08-22 |