| NPI | 1609886159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCELLA GRAF Executive Controller 224-377-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NC NH0590) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2015-02-26 |