| NPI | 1700229192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA HENRY President 800-677-1238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 056.010086) |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2013-04-16 |