Organization
THE VILLAGE AT MERCY CREEK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN KELLY RN, MS, LNHA (VICE PRESIDENT OF CLINICAL SERVICES)
(331) 318-5120
Entity
Organization
Contact information
Practice address
1501 MERCY CREEK DR, NORMAL, IL 61761-9597
(309) 268-1501
(309) 268-1498
Mailing address
11500 THERESA DR, LEMONT, IL 60439-2727
(331) 318-5120
(331) 318-5210
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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