| NPI | 1962600072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRYL VANDERVORT CEO 815-285-5501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: IL 0000497) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2020-08-22 |