NPI | 1811139876 |
---|---|
Doing Business As | WESTSIDE REHABILITATION & CARE CENTER |
Entity Type | Organization |
Authorized Contact | MARK B. PETERSEN Manager 309-689-5880 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0053488) |
Enumeration Date | 2009-04-06 |
Last Update Date | 2020-12-02 |