United Methodist Village INC
NPI #1558354472 in Lawrenceville, Illinois
Provider Information
- NPI Number
- 1558354472
- Entity Type
- Organization
- Organization Name
- United Methodist Village INC
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Aug 25, 2005
- Last Updated
- Feb 7, 2012
Practice Location
- Address
- 1616 CEDAR ST
- City
- Lawrenceville
- State
- Illinois
- ZIP Code
- 62439-2154
- Phone
- (618) 943-3347
Authorized Official
- Name
- MR. CAROL A. HAWKINS-BROWN
- Title
- LICENSED NURSING HOME ADMINISTRATOR
- Phone
- (619) 943-3347
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
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