NPI | 1649341421 |
---|---|
Doing Business As | AVANTI WELLNESS AND REHABILITATION |
Entity Type | Organization |
Authorized Contact | AMANDA ANDREWS Administrator 847-647-6400 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: IL 5003240001) |
332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: IL 5003240001) | |
Enumeration Date | 2006-11-13 |
Last Update Date | 2019-12-12 |