Organization
UNITED METHODIST VILLAGE INC
Active
Other names
United Methodist Village, The
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CAROL A. HAWKINS-BROWN (LICENSED NURSING HOME ADMINISTRATOR)
(619) 943-3347
Entity
Organization
Contact information
Practice address
1616 CEDAR ST, LAWRENCEVILLE, IL 62439-2154
(618) 943-3347
(618) 943-3823
Mailing address
1616 CEDAR ST, LAWRENCEVILLE, IL 62439-2154
(618) 943-3347
(618) 943-3823
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
0014506
IL
Other
Enumeration date
08/25/2005
Last updated
02/07/2012
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