| NPI | 1457476632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY DEAN ALBERT Administrator 618-357-2493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IL 000045260) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |