| NPI | 1699087585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIELA EDAYA LOYOLA R PT 1818-310-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 070017759) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2010-07-08 |