Illinois Veterans Home at Lasalle

NPI #1942367453 in La Salle, Illinois

Provider Information

NPI Number: 1942367453
Entity Type: Organization
Organization Name: Illinois Veterans Home at Lasalle
Primary Specialty: Residential Treatment Facility, Physical Disabilities
Enumeration Date: Jan 3, 2007
Last Updated: May 24, 2013

Practice Location

Address: 1015 OCONOR AVE
City: La Salle
State: Illinois
ZIP Code: 61301-1216
Phone: (815) 223-0303

Authorized Official

Name: JOHN G. KOEHLER, LNHA
Title: ADMINISTRATOR
Phone: (815) 223-0303

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Custodial Care Facility - Adult Care Home — Adult Care Home	311ZA0620X
Residential Treatment Facility, Physical Disabilities	320700000X	Primary

Similar Providers

Provider Name	Specialty	City
State of Illinois	Residential Treatment Facility, Physical Disabilities	Chicago	AI Deep Dive
Illinois Veterans Home at Quincy	Residential Treatment Facility, Physical Disabilities	Quincy	AI Deep Dive
Illinois Veterans Home at Anna	Residential Treatment Facility, Physical Disabilities	Anna	AI Deep Dive
Illinois Veterans Home at Manteno	Residential Treatment Facility, Physical Disabilities	Manteno	AI Deep Dive
Warren Achievement Center INC	Residential Treatment Facility, Physical Disabilities	Monmouth	AI Deep Dive

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