| NPI | 1801850177 |
|---|---|
| Doing Business As | MENDOTA LUTHERAN HOME |
| Entity Type | Organization |
| Authorized Contact | ERICA A. FALK Administrator 815-539-7439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IL 0011593) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2019-02-26 |