United Methodist Village Inc

NPI 1558354472 - Nursing Facility/Intermediate Care Facility - 313M00000X

NPI Details
NPI 1558354472
Enumeration Date 08/25/2005
Last Updated 02/07/2012
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name CAROL A. CAROL
Position LICENSED NURSING HOME ADMINISTRATOR
Phone (618) 943-3347
Fax (618) 943-3823
Practice Location
1616 CEDAR ST
LAWRENCEVILLE IL, 62439-2154, US
Phone (618) 943-3347
Fax (618) 943-3823
Business Location
1616 CEDAR ST
LAWRENCEVILLE IL, 62439-2154, US
Phone (618) 943-3347
Fax (618) 943-3823
Toxanomy
Taxonomy Code 313M00000X
License State Illinois
License Number 0014506
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According to our database, United Methodist Village Inc NPI is 1558354472, taxonomy code is 313M00000X and license number is 0014506, license state is located at Illinois. United Methodist Village Inc physically located at 1616 Cedar St, Lawrenceville IL, 62439-2154. NPI Number 1033115704 has the healthcare provider type.

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1558354472 NPI number is provided on an as is basis without warranty of any kind. 1558354472 is maintained by the National Plan & Provider Enumeration System. The contents of United Methodist Village Inc are for informational purposes only.