| NPI | 1568806750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY COTTRILL Speech Language Pathologist 217-549-8829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: IL 146009784) |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2013-04-18 |