Ottawa Pavilion, Ltd.
NPI #1205813490 in Ottawa, Illinois
Provider Information
- NPI Number
- 1205813490
- Entity Type
- Organization
- Organization Name
- Ottawa Pavilion, Ltd.
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Dec 28, 2005
- Last Updated
- Jan 14, 2015
Practice Location
Authorized Official
- Name
- MR. MARSHALL A MAUER
- Title
- SECRETARY-TREASURER
- Phone
- (847) 679-8219
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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