Pavilion On Main Street LLC
NPI #1366180903 in Sandwich, Illinois
Provider Information
- NPI Number
- 1366180903
- Entity Type
- Organization
- Organization Name
- Pavilion On Main Street LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 24, 2022
- Last Updated
- Nov 4, 2025
Practice Location
Authorized Official
- Name
- MARCELLA GRAF
- Title
- CFO
- Phone
- (224) 470-2044
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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