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American Lutheran Church Mendota
Nursing Facility/Intermediate Care Facility in Mendota, Illinois
NPI 1801850177

American Lutheran Church Mendota is a Nursing Facility/Intermediate Care Facility based in Mendota, IL. American Lutheran Church Mendota practices in Mendota, IL. The NPI Number for American Lutheran Church Mendota is 1801850177 and holds a License No. 0011593 (Illinois).

The current practice location address for American Lutheran Church Mendota is 500 6Th St, Mendota, IL and can be reached out via phone at 815-539-7439 and via fax at 815-538-3400.

Location: 500 6Th St, Mendota, IL, 61342-1728
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801850177
Provider Name
American Lutheran Church Mendota
Credential
Provider Entity Type
Organization
Address
500 6Th St, Mendota, IL, 61342-1728
Phone Number
815-539-7439
Fax Number
815-538-3400
Provider Enumeration Date
04/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
500 6Th St
City
Mendota
State
Illinois
Zip
61342-1728
Phone Number
815-539-7439
Fax Number
815-538-3400
person
Provider Business Mailing Address Details
Address
500 6Th St
City
Mendota
State
Illinois
Zip
61342-1728
Phone Number
815-539-7439
Fax Number
815-538-3400
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
0011593 (Illinois)
Definition
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 condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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