NPI 1851359871

Vandalia Terrace, LTD

Organisation Mental Illness Intermediate Care Facility Skokie, IL

Practice location

Address: 3845 Oakton St, Skokie, IL 60076-3429
Phone: (847) 679-0100
Fax: (847) 679-0673

Authorised official

Name: Byron Witt
Title: Administrator
Phone: (618) 283-1434

Registered specialties

Mental Illness Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310500000X Licence 1687983 (IL)

Other Intermediate Care Facility, Mental Illness providers in Illinois →

Registry record

NPI: 1851359871
Entity type: Organization
NPI issued: 1 May 2006
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.