| NPI | 1861479776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT L STAHL Projects Coordinator 309-734-1431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: IL 000429) |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2020-08-22 |