Pearl Pavilion LLC

NPI #1861871246 in Freeport, Illinois

Provider Information

NPI Number
1861871246
Entity Type
Organization
Organization Name
Pearl Pavilion LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
May 19, 2015
Last Updated
May 18, 2016

Practice Location

Address
910 KIWANIS DRIVE
ZIP Code
61032
Phone
(815) 235-6196

Authorized Official

Name
SHIMON WEBSTER
Title
MANAGER
Phone
(773) 945-1000

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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