Caravilla Residential Centers, Inc
Caravilla Residential Centers, Inc is a Skilled Nursing Facility in Mount Vernon, Illinois. Licensed in Illinois. Registered with an NPI since 2005.
- Licensed in
- IL
- In the registry since
- 2005
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1700 White StMount Vernon, IL 62864-4349
Phone: (618) 242-4075
Fax: (618) 242-4092
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X · Licence 0039818 (IL) |
|---|
Record details
| NPI number | 1932109485 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Flanagan — Receiver For, Corportate Attorney · (816) 444-0900 |
| Other names | Jeffersonian Health Care |
| NPI enumerated | July 27, 2005 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1700 White St, Mount Vernon, IL 62864-4349 |
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Axiom Healthcare of Mount Vernon LLC
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Palladian Mt Vernon SNF LLC
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Petersen Management Company, LLC
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