NPI | 1558314302 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK HOVREN President CEO 815-844-6131 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0008425) |
Enumeration Date | 2006-05-19 |
Last Update Date | 2008-04-17 |