NPI | 1639138134 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA D. COOK Administrator 309-289-2614 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IL 0001107) |
Enumeration Date | 2006-03-22 |
Last Update Date | 2020-08-22 |