Whalio Doctors

NPI 1659363661

Caravilla Residential Centers, INC

Organisation Nursing Facility/Intermediate Care Facility Mount Vernon, IL

Practice location

Address
5 Doctors Park Rd, Mount Vernon, IL 62864-6224
Phone
(618) 242-1064
Fax
(618) 242-7559

Authorised official

Name
Michael F Flanagan
Title
Corporate Attorney
Phone
(816) 444-0900

Registered specialties

Nursing Facility/Intermediate Care Facility Primary
Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 0039800 (IL)

Registry record

NPI
1659363661
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.