NPI 1093919771

Avon Nursing Home, INC.

Organisation Nursing Facility/Intermediate Care Facility Avon, IL

Practice location

Address: 1790 23rd Ave, Avon, IL 61415-9105
Phone: (309) 465-3102

Authorised official

Name: Phil Kramer
Title: Administrator
Phone: (309) 465-3102

Registered specialties

Nursing Facility/Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 0006510 (IL)

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Registry record

NPI: 1093919771
Entity type: Organization
NPI issued: 14 Jun 2007
Record last updated: 22 Aug 2020

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.