Healthcare Provider Details

I. General information

NPI: 1881425056
Provider Name (Legal Business Name): DANVILLE NURSING AND REHAB CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2024
Last Update Date: 10/01/2024
Certification Date: 10/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 N BOWMAN AVENUE RD
DANVILLE IL
61832-2200
US

IV. Provider business mailing address

7373 N LINCOLN AVE STE 300
LINCOLNWOOD IL
60712-1715
US

V. Phone/Fax

Practice location:
  • Phone: 217-443-2955
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: ALLAN GARFINKEL
Title or Position: AUTHORIZED REPRESENTATIVE
Credential:
Phone: 786-210-1578