NPI | 1558359232 |
---|---|
Doing Business As | ST VINCENTS HOME |
Entity Type | Organization |
Authorized Contact | PAULA JANE CONNELL Administrator 217-224-3780 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0036723) |
Enumeration Date | 2005-10-07 |
Last Update Date | 2011-11-30 |