Virgil L Calvert Care Center
Skilled Nursing Facility in East Saint Louis, IL. Organization (NPI-2).
NPI number1710003421
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1710003421
- Entity type
- Organization (NPI-2)
- Legal business name
- Virgil L Calvert Care Center
- Organization subpart
- No
- Enumeration date
- Mar 22, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 25398644 | IL | Yes |
Practice location
5050 Summit AveEast Saint Louis, IL 62203-1026
Phone 618-874-3597 · Fax 618-874-0240
Mailing address
7434 Skokie BlvdSkokie, IL 60077-3341
Phone 847-982-2300 · Fax 847-982-2304
Authorized official
Moshe Herman
Comptroller
8479822300
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