| NPI | 1972517738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANJALI PRESTON Administrator 217-243-6405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IL 0032938) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-08-22 |