Kerry Mendoza
Kerry Mendoza is a Mental Illness Community Based Residential Treatment Facility in Rock Island, Illinois. Practices as a sole proprietor. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
2701 17th StRock Island, IL 61201-5351
Phone: (309) 779-2957
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Illness Community Based Residential Treatment Facility (primary) | Taxonomy 320800000X |
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Record details
| NPI number | 1881138071 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 7, 2016 |
| Last updated in NPPES | December 7, 2016 |
| Mailing address | 1854 45th St, Rock Island, IL 61201-3952 |