Illinois Veterans Home at Manteno

NPI #1831248228 in Manteno, Illinois

Provider Information

NPI Number
1831248228
Entity Type
Organization
Organization Name
Illinois Veterans Home at Manteno
Primary Specialty
Residential Treatment Facility, Physical Disabilities
Enumeration Date
Jan 9, 2007
Last Updated
Jul 15, 2010

Practice Location

Address
1 VETERANS DR
ZIP Code
60950-9466
Phone
(815) 468-6581

Authorized Official

Name
REGINALD L BOOKER, LNHA
Title
ADMINISTRATOR
Phone
(815) 468-6581

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility - Adult Care HomeAdult Care Home
Durable Medical Equipment & Medical Supplies
Residential Treatment Facility, Physical Disabilities

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