Organization
ASTA CARE CENTER OF TOLUCA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRYSTAL DIVORA (ADMINISTRATIVE ASSISTANT)
(815) 452-2367
Entity
Organization
Contact information
Practice address
101 E VIA GHIGLIERI, TOLUCA, IL 61369-9596
(815) 452-2367
(815) 452-2947
Mailing address
101 E VIA GHIGLIERI, TOLUCA, IL 61369-9596
(815) 452-2367
(815) 452-2947
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
0042796
IL
314000000X
Skilled Nursing Facility
0042796
IL
Other
Enumeration date
08/10/2005
Last updated
09/11/2025
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