Monroe County

Assisted Living Facility · Waterloo, IL

Organization Active NPI

NPI number 1457500621

Practice location

623 Hamacher Street
Waterloo, IL 62298-1598
Phone
(618) 939-0500
Fax
(618) 939-4906

Open in Google Maps

NPI record

NPI
1457500621
Entity type
Organization (Type 2)
Enumeration date
September 12, 2008
Last updated
June 25, 2015
Organization subpart
Yes
Parent organization
Monroe County

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Assisted Living Facility Primary 310400000X — IL

Authorized official

Name
Mrs. Kim Lee Keckritz
Title
Administrator
Phone
(618) 939-3488

Other names

  • Magnolia Terrace

About Monroe County

Monroe County is a healthcare organization registered in the NPI registry with the primary taxonomy Assisted Living Facility (code 310400000X). The practice location is 623 Hamacher Street, Waterloo, IL 62298-1598. The NPI number 1457500621 was assigned on September 12, 2008 and the record was last updated on June 25, 2015.

The authorized official for this organization is Mrs. Kim Lee Keckritz, Administrator.

Frequently asked questions

What is the NPI number of Monroe County?

The NPI number is 1457500621.

What is the phone number of Monroe County?

The phone number listed for the practice location is (618) 939-0500.

Where is Monroe County located?

623 Hamacher Street, Waterloo, IL 62298-1598.

What is the taxonomy code for Monroe County?

The primary taxonomy code is 310400000X – Assisted Living Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Assisted Living Facility providers in Waterloo

All Assisted Living Facility providers in Waterloo, IL →