| NPI | 1487624946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ETHEL Z LOGUE Administrator 309-342-2103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0042317) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2009-02-09 |