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MW ALEDO OPERATING LLC NPI 1437565124


NPI Information

NPI: 1437565124
Provider Name: MW ALEDO OPERATING, LLC

Doing Business As: BROOKSTONE OF ALEDO

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 14D2212744

Address:
405 SE 13TH AVE
ALEDO, IL
ZIP 61231
Phone: (309) 582-0130
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MW ALEDO OPERATING, LLC is an assisted living facility in Aledo, IL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. MW ALEDO OPERATING, LLC NPI is 1437565124. The provider is registered as an organization entity type.
The provider Is Doing Business As Brookstone Of Aledo.

The provider's business location address is:

405 SE 13TH AVE
ALEDO, IL
ZIP 61231-000
Phone: (309) 582-0130

The provider's authorized official is Timothy P O'brien .
The authorized official title is Chief Strategiest and has the following contact phone number (828) 261-7322.

The CLIA number assigned to this NPI record is 14D2212744 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/2/2014 and was last updated on 7/2/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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