| NPI | 1831138890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAKHLOUF SUISSA Member 618-344-7750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0041210) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2009-06-02 |