| NPI | 1740397447 |
|---|---|
| Other Name | SWING BED UNIT |
| Entity Type | Organization |
| Authorized Contact | JODIE CRISWELL CFO 309-944-6431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2016-03-02 |