Organization
VILLAGE HEALTH CARE MANAGEMENT LLC
Active
Other names
Lawrenceville Manor
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLI WESLEY (ADMINISTRATOR)
(618) 943-3444
Entity
Organization
Contact information
Practice address
2101 JAMES ST, LAWRENCEVILLE, IL 62439-2027
(619) 943-3444
(618) 943-2853
Mailing address
2101 JAMES ST, LAWRENCEVILLE, IL 62439-2027
(619) 943-3444
(618) 943-2853
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
0046656
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370673519002
—
IL
Enumeration date
08/25/2005
Last updated
06/24/2019
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