| NPI | 1588302137 |
|---|---|
| Doing Business As | PAVILION OF LOGAN SQUARE |
| Entity Type | Organization |
| Authorized Contact | MARCELLA GRAF CFO 224-470-2044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2022-05-24 |