NPI | 1801818240 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA ERNSTING CFO 618-443-2177 |
Organization Subpart ? | No |
Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: IL 14Z349) |
Enumeration Date | 2006-07-24 |
Last Update Date | 2023-05-16 |