Organization · Type 2 NPI

Ottawa Pavilion, Ltd.

Skilled Nursing Facility · Ottawa, IL

NPI number 1205813490 Active

Practice location

704 E Glover St
Ottawa, IL 61350-4131

Fax (815) 434-2376

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000X0039230 (IL)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1205813490

Ottawa Pavilion, Ltd.'s National Provider Identifier is 1205813490, issued on Dec 28, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Ottawa, IL. The record was last updated on Jan 14, 2015.