| NPI | 1912404765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY EVERS Chief Financial Officer 815-285-5521 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2018-04-09 |