| NPI | 1841930575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY FIELDS Manager 630-327-2951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2022-04-27 |