Organization
PERSHING CONVALESCENT HOME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAKASH C NAVNI D.P.T. (ADMINSTRATOR)
(708) 484-7543
Entity
Organization
Contact information
Practice address
3900 OAK PARK AVE, STICKNEY, IL 60402-4168
(708) 484-7543
Mailing address
3900 OAK PARK AVE, STICKNEY, IL 60402-4168
(708) 484-7543
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0001644
IL
Other
Enumeration date
10/05/2006
Last updated
05/04/2012
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