NPI | 1831405695 |
---|---|
Entity Type | Organization |
Authorized Contact | ALFREDA THOMPSON CEO 312-315-0748 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: IL 1916239) |
Additional Taxonomies | 311Z00000X Custodial Care Facility (Licence: IL 1916239) |
Enumeration Date | 2010-08-30 |
Last Update Date | 2010-08-30 |