Organization
UNITED METHODIST VILLAGE SOUTH CAMPUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ASHLI WESLEY (ADMINISTRATOR)
(618) 943-3347
Entity
Organization
Contact information
Practice address
1616 CEDAR ST, LAWRENCEVILLE, IL 62439-2154
(618) 943-3347
Mailing address
1616 CEDAR ST, LAWRENCEVILLE, IL 62439-2154
(618) 943-3347
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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