NPI | 1710970926 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY R. REIERSON Assistant Admin./Dir Of Finance 815-877-1441 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IL 1676858) |
Enumeration Date | 2005-08-24 |
Last Update Date | 2020-08-22 |