NPI | 1871717678 |
---|---|
Entity Type | Organization |
Authorized Contact | JANE M DODSON Vice President 618-327-9846 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IL 0037994) |
Enumeration Date | 2007-04-12 |
Last Update Date | 2020-08-22 |