NPI | 1518238500 |
---|---|
Doing Business As | BOURBONNAIS TERRACE N.H |
Entity Type | Organization |
Authorized Contact | JAMIE NICKLE Director 630-501-0996 |
Organization Subpart ? | Yes |
Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
Enumeration Date | 2012-01-23 |
Last Update Date | 2017-01-31 |