| NPI | 1881734416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZ DILDAY Administrator 618-443-4351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IL 0000497) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2008-08-19 |