NPI | 1982876819 |
---|---|
Doing Business As | HUNT TERRACE |
Entity Type | Organization |
Authorized Contact | RONALD J WILSON Authorized Agent 309-343-1550 |
Organization Subpart ? | Yes |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: IL 47985) |
Enumeration Date | 2008-04-01 |
Last Update Date | 2008-04-20 |