Mercer County Nursing Home

NPI 1174511380 - Nursing Facility/Intermediate Care Facility - 313M00000X

NPI Details
NPI 1174511380
Enumeration Date 10/11/2005
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name CARLA M. CARLA
Position ADMINISTRATOR
Phone (309) 582-5361
Fax (309) 582-5518
Practice Location
309 NW 9TH AVE
ALEDO IL, 61231-1330, US
Phone (309) 582-5361
Fax (309) 582-5518
Business Location
309 NW 9TH AVE
ALEDO IL, 61231-1330, US
Phone (309) 582-5361
Fax (309) 582-5518
Toxanomy
Taxonomy Code 313M00000X
License State Illinois
License Number 0001396
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According to our database, Mercer County Nursing Home NPI is 1174511380, taxonomy code is 313M00000X and license number is 0001396, license state is located at Illinois. Mercer County Nursing Home physically located at 309 Nw 9th Ave, Aledo IL, 61231-1330. NPI Number 1033115704 has the healthcare provider type.

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1174511380 NPI number is provided on an as is basis without warranty of any kind. 1174511380 is maintained by the National Plan & Provider Enumeration System. The contents of Mercer County Nursing Home are for informational purposes only.