| NPI | 1851849269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN AVELINO Accounts Receivable Manager 773-724-6376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2017-07-18 |