NPI | 1972501898 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY G RICHARDSON Controller 773-233-6311 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0048215) |
Enumeration Date | 2005-07-13 |
Last Update Date | 2013-09-16 |