NPI | 1518917756 |
---|---|
Entity Type | Organization |
Authorized Contact | ADA M BAIR CEO 217-357-8566 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IL 0000091) |
Enumeration Date | 2006-05-10 |
Last Update Date | 2015-06-12 |