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Overview of Evenglow Lodge
- NPI number: 1558967950
- Provider type: Organization
- Active since: 05/19/2006
- Last updated: 04/17/2008
Primary Scrop of Practice
- Taxonomy Code: 314000000X
- Specialty: Skilled Nursing Facility
- License Number: 0008425
- License State: IL
Provider Mailing Address
- Address: 215 E Washington StPontiac, IL 61764
- Phone: 815-844-6131
- Fax: 815-842-3558
Provider Practice Location
- Address: 215 E Washington StPontiac, IL 61764
- Phone: 815-844-6131
- Fax: 815-842-3558
Authorized Official
- Name: MR. Mark Hovren
- Position/Title: President Ceo
- Telephone Number: 815-844-6131
Scope of Practice
- Taxonomy Code: 314000000X
- Specialty: Skilled Nursing Facility
- License Number: 0008425
- License State: IL
- Switch: Yes
Legacy Identifiers
- Provider Identifier: 146095
- Identifier Type: Medicare Oscar/Certification
- Identifier State: IL
- Issuer:
Question & Answers
- Q: What is the npi number?
- A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
- Q: What are health care provider taxonomy codes?
- A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
- Q: What is the npi number for Evenglow Lodge?
- A: The npi number for Evenglow Lodge is 1558314302.
- Q: What are Evenglow Lodge's specialties?
- A: Evenglow Lodge's specialties are Skilled Nursing Facility and different specialities.
- Q: Where is Evenglow Lodge business practice location?
- A: Evenglow Lodge business practice location is 215 E Washington St, Pontiac, IL 61764.
- Q: How to contact Evenglow Lodge?
- A: You can contact Evenglow Lodge via 815-844-6131.
- Q: What is the authorized official for Evenglow Lodge?
- A: The authorized office name is MR. Mark Hovren with position/title is President Ceo and you can reach the authorized official via phone number 8158446131.