Organization · Type 2 NPI

St. John's Lutheran Church, Inc.

Adult Day Care Clinic/Center · Lena, IL

NPI number 1336689322 Active

Practice location

311 N. Lake Rd.
Lena, IL 61048-8712

Call (815) 369-2690 Map

Fax (815) 369-2535

Mailing address

311 N. Lake R. P. O Box 172
Lena, IL 61048-8712

Specialties and licenses

Taxonomy	Code	License
Adult Day Care Clinic/Center Primary	261QA0600X	None listed

Adult Day Care Clinic/Center: Definition to come...

NPI record

NPI: 1336689322
Entity type: Organization (Type 2)
Issued: Feb 24, 2017
Last updated: Jun 19, 2018
Status: Active

Other names

<unavail>
The Friendship Center · doing business as
The Friendship Center · doing business as

Authorized official

Mrs. Fawn Nolan
Chairman of the Board
(815) 369-4035

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1336689322

St. John's Lutheran Church, Inc.'s National Provider Identifier is 1336689322, issued on Feb 24, 2017. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Lena, IL. The record was last updated on Jun 19, 2018.