NPI | 1740463074 |
---|---|
Entity Type | Organization |
Authorized Contact | SR. JUDITH MORRIS Administrator 217-529-5596 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IL 0013839) |
Enumeration Date | 2007-12-10 |
Last Update Date | 2007-12-10 |