Organization
CARAVILLA RESIDENTIAL CENTERS, INC
Active
Other names
CASEY CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL F FLANAGAN (CORPORATE ATTORNEY)
(816) 444-0900
Entity
Organization
Contact information
Practice address
5 DOCTORS PARK RD, MOUNT VERNON, IL 62864-6224
(618) 242-1064
(618) 242-7559
Mailing address
5 DOCTORS PARK RD, MOUNT VERNON, IL 62864-6224
(618) 242-1064
(618) 242-7559
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
0039800
IL
Other
Enumeration date
08/16/2005
Last updated
08/22/2020
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