| NPI | 1790132025 |
|---|---|
| Doing Business As | WALNUT GROVE LIVING CENTER |
| Entity Type | Organization |
| Authorized Contact | ISAAC DOLE Manager/Principal 312-724-8950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2016-05-27 |