| NPI | 1831194752 |
|---|---|
| Doing Business As | MEADOWS MENNONITE HOME |
| Entity Type | Organization |
| Authorized Contact | ROBERT O. BERTSCHE Administrator CEO 309-747-2702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0011544) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: IL 0011544) |
| 311500000X Alzheimer Center (Dementia Center) (Licence: IL 0011544) | |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IL 0011544) | |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2013-08-19 |