NPI | 1891881777 |
---|---|
Entity Type | Organization |
Authorized Contact | PRAKASH C NAVNI Adminstrator 708-484-7543 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0001644) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2012-05-04 |