| NPI | 1568630390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISHA ATKIN Administrator 708-339-5311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: IL 0049080) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2008-02-14 |