NPI | 1770659898 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY A MUNTZ President, CEO 815-664-5311 |
Organization Subpart ? | No |
Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: IL 1706441) |
Enumeration Date | 2006-11-28 |
Last Update Date | 2021-01-27 |