Organization
AMERICAN LUTHERAN CHURCH MENDOTA
Active
Other names
Mendota Lutheran Home
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA A. FALK MBA, LNHA (ADMINISTRATOR)
(815) 539-7439
Entity
Organization
Contact information
Practice address
500 6TH ST, MENDOTA, IL 61342-1728
(815) 539-7439
(815) 538-3400
Mailing address
500 6TH ST, MENDOTA, IL 61342-1728
(815) 539-7439
(815) 538-3400
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
0011593
IL
Other
Enumeration date
04/13/2006
Last updated
02/26/2019
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