| NPI | 1952695058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM MARIE JOFFE Occupational Therapist 815-519-1270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NV 0898) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2011-06-06 |