Organization
HENRY & JANE VONDERLIETH LIVING CENTER INC
Active
Other names
The H & J Vonderlieth LVG CTR, The Henry & Jane Vonderlieth Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID M UNDERWOOD (SR. VP & CFO)
(309) 823-7135
Entity
Organization
Contact information
Practice address
1120 N TOPPER DR, MT PULASKI, IL 62548-1401
(217) 792-3218
(217) 792-3210
Mailing address
115 W JEFFERSON ST, STE 401, BLOOMINGTON, IL 61701-3967
(309) 828-4361
(309) 829-9512
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
19976
IL
Other
Enumeration date
09/16/2005
Last updated
05/30/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us