Organization · Type 2 NPI
Monroe County
Assisted Living Facility · Waterloo, IL
NPI number
1457500621
Active
Practice location
623 Hamacher Street
Waterloo, IL 62298-1598
Fax (618) 939-4906
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
Other assisted living facility providers in Waterloo
About NPI 1457500621
Monroe County's National Provider Identifier is 1457500621, issued on Sep 12, 2008. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Waterloo, IL. The record was last updated on Jun 25, 2015.