NPI | 1821266065 |
---|---|
Entity Type | Organization |
Authorized Contact | BRITTNEY ROWE Administrator 815-964-6835 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0049106) |
Enumeration Date | 2008-02-11 |
Last Update Date | 2008-04-20 |