Avon Nursing Home, Inc.

NPI 1093919771 - Nursing Facility/Intermediate Care Facility - 313M00000X

NPI Details
NPI 1093919771
Enumeration Date 06/14/2007
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name PHIL PHIL
Position ADMINISTRATOR
Phone (309) 465-3102
Fax
Practice Location
1790 23RD AVE
AVON IL, 61415-9105, US
Phone (309) 465-3102
Fax
Business Location
1790 23RD AVE
AVON IL, 61415-9105, US
Phone (309) 465-3102
Fax
Toxanomy
Taxonomy Code 313M00000X
License State Illinois
License Number 0006510
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According to our database, Avon Nursing Home, Inc. NPI is 1093919771, taxonomy code is 313M00000X and license number is 0006510, license state is located at Illinois. Avon Nursing Home, Inc. physically located at 1790 23rd Ave, Avon IL, 61415-9105. NPI Number 1033115704 has the healthcare provider type.

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1093919771 NPI number is provided on an as is basis without warranty of any kind. 1093919771 is maintained by the National Plan & Provider Enumeration System. The contents of Avon Nursing Home, Inc. are for informational purposes only.