Caravilla Residential Centers, INC

Practice location

Address

1717 Jefferson Ave, Mount Vernon, IL 62864-4330

Phone

(618) 244-2861

Fax

(618) 244-2393

Authorised official

Name

Michael F Flanagan

Title

Corporate Attorney

Phone

(816) 444-0900

Registered specialties

Registry record

NPI

1184616195

Entity type

Organization

NPI issued

16 Aug 2005

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.