| NPI | 1720073414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN T POST Administrator 309-467-9059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: IL 0042424) |
| 314000000X Skilled Nursing Facility (Licence: IL 1694647) | |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2016-11-01 |