| NPI | 1760931513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN ZOSTAUTAS Hr Manager 888-660-4425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IL 209014217) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2016-09-21 |