| NPI | 1669804811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERYL LYNN PETTETT Owner, Nurse Manager 309-364-3607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) (Licence: IL 5104325) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: IL 5104325) |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2013-07-30 |