Organization
MEADOWS MENNONITE RETIREMENT COMMUNITY ASSOCIATION, INC.
Active
Other names
Meadows Mennonite Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT O. BERTSCHE (ADMINISTRATOR CEO)
(309) 747-2702
Entity
Organization
Contact information
Practice address
24588 CHURCH ST, CHENOA, IL 61726-9395
(309) 747-2702
(309) 747-2944
Mailing address
24588 CHURCH ST, CHENOA, IL 61726-9395
(309) 747-2702
(309) 747-2944
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
0011544
IL
311500000X
Alzheimer Center (Dementia Center)
0011544
IL
313M00000X
Nursing Facility/Intermediate Care Facility
0011544
IL
314000000X
Skilled Nursing Facility
Primary
0011544
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11544
—
IL
05
—
6006001
—
IL
Enumeration date
06/16/2005
Last updated
08/19/2013
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