NPI | 1629298195 |
---|---|
Other Name | OAK CREST |
Entity Type | Organization |
Authorized Contact | STEPHEN P CICHY Executive Director 815-756-8461 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0025163) |
Enumeration Date | 2007-04-26 |
Last Update Date | 2008-07-14 |