NPI 1437329828

Dsi Manteno Operator LLC

Organisation Assisted Living Facility Manteno, IL

Practice location

Address: 355 Diversatech Dr, Manteno, IL 60950-9274
Phone: (815) 468-3553
Fax: (815) 468-3888

Authorised official

Name: William M Daughtery
Title: Managing Member
Phone: (815) 932-1992

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1437329828
Entity type: Organization
NPI issued: 3 Mar 2008
Record last updated: 3 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.