Stonecrest Manor Assisted Living
Organization Active NPI Assisted Living Facility · Momence, IL
NPI 1346575636 · NPPES record last updated Oct 5, 2009
Key facts
- NPI
- 1346575636
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- 5101180 (IL)
- Legal business name
- STONECREST MANOR ASSISTED LIVING
- Practice address
- 110 Harvard St
Momence, IL 60954-1757 - Phone
- (815) 472-2411
- Fax
- (815) 472-2051
- NPI assigned
- Oct 5, 2009
- Organization subpart
- No
Authorized official
- Name
- Ms. Geri P Johnson
- Title
- Administrator
- Phone
- (815) 472-2411
National Provider Directory
Locations
110 Harvard St
Momence, IL 60954
Phone (815) 472-2411
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 5101180 | IL | Yes |
Addresses
Primary practice location
110 Harvard St
Momence, IL 60954-1757
Mailing address
110 Harvard St
Momence, IL 60954-1757
Phone (815) 472-2411
Other providers in Momence, IL
- Momence Meadows Nursing & Rehabilitation Center
- Momence Meadows Nursing and Rehabilitation Center
- Dana Marie Nunamaker
- Jennifer Melissa Powell
- RTW Services PLLC
- Lisa J Thompson-Dyson
- Mandi Ann Troli
- Robert Wirick
- Juan Zarate
All providers in Momence, IL · Assisted Living Facility in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.