ASTA CARE CENTER OF PONTIAC LLC
Nursing Care, Pediatric
Pontiac, Illinois
Provider NPI: 1619968823
Organization Information:Organization Name: ASTA CARE CENTER OF PONTIAC LLC
Practice Location:
300 W LOWELL PONTIAC, IL 61764 US
Tel: 815-842-1181 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Practice Location:
300 W LOWELL PONTIAC, IL 61764 US
Tel: 815-842-1181 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3140N1450X | Nursing & Custodial Care Facilities Skilled Nursing Facility Nursing Care, Pediatric | IL | 0043968 |