Organization
COUNTY OF MCLEAN
Active
Other names
McLean County Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA L WEGNER (ADMINISTRATOR)
(309) 888-5380
Entity
Organization
Contact information
Practice address
901 N MAIN ST, NORMAL, IL 61761-1501
(309) 888-5380
(309) 454-4594
Mailing address
901 N MAIN ST, NORMAL, IL 61761-1501
(309) 888-5380
(309) 454-4594
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0018150
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0018150
STATE LICENSE NUMBER
IL
05
—
37600156801
—
IL
Enumeration date
10/13/2005
Last updated
12/28/2015
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