Organization · Type 2 NPI
The Lodge at Manito, LLC
Assisted Living Facility · Manito, IL
NPI number
1457127409
Active
Practice location
1303 S East Ave
Manito, IL 61546-8910
Mailing address
7611 State Line Rd Ste 301
Kansas City, MO 64114-1698
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
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
About NPI 1457127409
The Lodge at Manito, LLC's National Provider Identifier is 1457127409, issued on Nov 30, 2023. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Manito, IL. The record was last updated on Nov 30, 2023.