Organization
AVON NURSING HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHIL KRAMER (ADMINISTRATOR)
(309) 465-3102
Entity
Organization
Contact information
Practice address
1790 23RD AVE, AVON, IL 61415-9105
(309) 465-3102
Mailing address
1790 23RD AVE, AVON, IL 61415-9105
(309) 465-3102
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
0006510
IL
Other
Enumeration date
06/14/2007
Last updated
08/22/2020
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