Organization · Type 2 NPI
Asta Care Center of Pontiac LLC
Pediatric Skilled Nursing Facility · Pontiac, IL
NPI number
1619968823
Active
Practice location
300 W Lowell
Pontiac, IL 61764-2614
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Skilled Nursing Facility Primary | 3140N1450X | 0043968 (IL) |
Pediatric Skilled Nursing Facility: A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
About NPI 1619968823
Asta Care Center of Pontiac LLC's National Provider Identifier is 1619968823, issued on Nov 4, 2005. The primary taxonomy on file is Pediatric Skilled Nursing Facility (3140N1450X), and the practice location is in Pontiac, IL. The record was last updated on May 10, 2013.