Organization
WILLOW CREST NURSING PAVILLION, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARSHALL A MAUER (SECRETARY/TREASURER)
(847) 679-8219
Entity
Organization
Contact information
Practice address
515 N MAIN ST, SANDWICH, IL 60548-1253
(815) 786-8426
(815) 786-1621
Mailing address
515 N MAIN ST, SANDWICH, IL 60548-1253
(815) 786-8426
(815) 786-1621
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0036533
IL
Other
Enumeration date
12/28/2005
Last updated
08/31/2011
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