| NPI | 1922972181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EPHRAIM BRAUNSTEIN Manager 815-729-3801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2025-10-01 |
| Last Update Date | 2025-10-01 |