| NPI | 1851366835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A WELLEN Administrator 618-643-2325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IL 0000885) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2020-08-22 |