NPI 1659363661
Caravilla Residential Centers, INC
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
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.