Caravilla Residential Centers, INC
NPI #1932109485 in Mount Vernon, Illinois
Provider Information
- NPI Number
- 1932109485
- Entity Type
- Organization
- Organization Name
- Caravilla Residential Centers, INC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 27, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1700 WHITE ST
- City
- Mount Vernon
- State
- Illinois
- ZIP Code
- 62864-4349
- Phone
- (618) 242-4075
Authorized Official
- Name
- MICHAEL F FLANAGAN
- Title
- RECEIVER FOR, CORPORTATE ATTORNEY
- Phone
- (816) 444-0900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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