| NPI | 1457608184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY C WESTBROOKS Speech Language Pathologist 618-781-9591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 2012027940) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: IL 242002106) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2012-11-29 |