Organization
VIRGIL CALVERT NURSING & REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOE HERMAN (COMPTROLLER)
(847) 982-2300
Entity
Organization
Contact information
Practice address
5050 SUMMIT AVE, EAST SAINT LOUIS, IL 62203-1026
(847) 982-2300
(847) 982-2304
Mailing address
5050 SUMMIT AVE, EAST SAINT LOUIS, IL 62203-1026
(847) 982-2300
(847) 982-2304
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0039651
IL
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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