NPI | 1922003326 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBRA REARDANZ Vice President/CFO 217-344-2144 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 1674035) |
Enumeration Date | 2005-06-14 |
Last Update Date | 2020-08-22 |