NPI | 1639352727 |
---|---|
Entity Type | Organization |
Authorized Contact | ALDO HERNANDEZ Owner 773-784-6378 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: IL 149.012666) |
Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: IL 149.012666) |
Enumeration Date | 2007-12-11 |
Last Update Date | 2009-06-30 |