BRETHREN HOME is a private vehicle in Mount Morris, IL. The provider is an individual paid to provide non-emergency transportation using their privately owned/leased vehicle. BRETHREN HOME NPI is 1548412976. The provider is registered as an organization entity type.
The provider Is Doing Business As Pinecrest Manor.
The provider's business location address is:
414 S WESLEY AVE
MOUNT MORRIS, IL
ZIP 61054-428
Phone: (815) 734-4103
Fax: (815) 734-7318
The provider's authorized official is Carol A Davis .
The authorized official title is Ceo/administrator and has the following contact phone number (815) 734-4103.
The CLIA number assigned to this NPI record is 14D0718200 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/16/2008 and was last updated on 1/20/2009.