NPI | 1891026530 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM ROTHNER Manager 847-905-4000 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NE 504007) |
Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NE 504007) |
Enumeration Date | 2010-01-20 |
Last Update Date | 2010-01-20 |