| NPI | 1841292083 |
|---|---|
| Former Legal Business Name | CENTRAL BAPTIST HOME FOR THE AGED |
| Entity Type | Organization |
| Authorized Contact | CHARLES NEWTON Executive Director 708-583-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0007435) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: IL 5100364) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2011-10-03 |