NPI | 1518127539 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA RAE LOVE Physical Therapist Assistant 815-499-1269 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 1484895) |
Enumeration Date | 2008-06-12 |
Last Update Date | 2008-06-12 |