| NPI | 1568483329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA D COOK Administrator 309-289-2614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376G00000X Nursing Home Administrator (Licence: IL 044005918) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-08-22 |