| 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 |