| NPI | 1770582330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORNA BROWN Administrator 309-944-2147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 1099) |
| Enumeration Date | 2005-07-17 |
| Last Update Date | 2013-11-29 |