| NPI | 1871899302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN RIMMER Speech Language Pathologist 815-793-4092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CO 12111157) |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2011-01-31 |