| NPI | 1598789059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN DEBRAEKELEER Administrator 815-694-2306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0021832) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: IL 0021832) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2017-10-27 |