| NPI | 1518339167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOELLEN BLEAVINS Vice President Of Management Agent 815-935-1992 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2015-11-03 |