Organization · Type 2 NPI

McLean County Assisted Living Facility, L.l.c.

Assisted Living Facility · Normal, IL

NPI number 1447429378 Active

Practice location

801 Gregory St
Normal, IL 61761-4431

Call (309) 451-9355 Map

Fax (309) 862-4329

Mailing address

115 W Jefferson St, Suite 401
Bloomington, IL 61701-3946

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	1821581 (IL)

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Another provider at this address

Travis RiceOccupational Therapist Normal, IL NPI 1003794165

Other assisted living facility providers in Normal

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NPI record

NPI: 1447429378
Entity type: Organization (Type 2)
Issued: Feb 25, 2008
Last updated: Feb 25, 2008
Status: Active
Subpart: Yes of Heritage Enterprises, Inc

Other names

<unavail>
Evergreen Place Assisted Living Facility · doing business as

Authorized official

Mr. Craig L. Ater
Senior V.p. of Finance
(309) 823-7135

Verify this record

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 1447429378

McLean County Assisted Living Facility, L.l.c.'s National Provider Identifier is 1447429378, issued on Feb 25, 2008. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Normal, IL. The record was last updated on Feb 25, 2008.