| NPI | 1568669778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANN WOOLLEY Manager 815-875-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: IL 006) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2022-07-21 |