| NPI | 1538379581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE KLODT Registered Nurse, Staff 217-788-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |