Organization
ST. JOHN'S LUTHERAN CHURCH, INC.
Active
Other names
The Friendship Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FAWN NOLAN (CHAIRMAN OF THE BOARD)
(815) 369-4035
Entity
Organization
Contact information
Practice address
311 N. LAKE RD., LENA, IL 61048-8712
(815) 369-2690
(815) 369-2535
Mailing address
311 N. LAKE R. P. O BOX 172, LENA, IL 61048-8712
(815) 369-2690
(815) 369-2535
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/24/2017
Last updated
06/19/2018
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