| 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 |