Organization
MERCER COUNTY NURSING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CARLA M. EWING (ADMINISTRATOR)
(309) 582-5361
Entity
Organization
Contact information
Practice address
309 NW 9TH AVE, ALEDO, IL 61231-1330
(309) 582-5361
(309) 582-5518
Mailing address
309 NW 9TH AVE, ALEDO, IL 61231-1330
(309) 582-5361
(309) 582-5518
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
0001396
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14E595
—
IL
Enumeration date
10/11/2005
Last updated
08/22/2020
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