Organization · Type 2 NPI

American Lutheran Church Mendota

Nursing Facility/Intermediate Care Facility · Mendota, IL

NPI number 1801850177 Active

Practice location

500 6th St
Mendota, IL 61342-1728

Fax (815) 538-3400

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000X0011593 (IL)

Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…

Another provider at this address

About NPI 1801850177

American Lutheran Church Mendota's National Provider Identifier is 1801850177, issued on Apr 13, 2006. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Mendota, IL. The record was last updated on Feb 26, 2019.