| NPI | 1821345331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY PARRISH Bom 812-886-4677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 146.008180) |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2013-11-22 |