| NPI | 1528006947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BLISKO CEO 708-449-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 05-000201-1) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2012-05-17 |