# KAW RIVER CARE AND REHABILITATION CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487101267
- **Authorized official:** JOSEPH SCHWARTZ (MANAGER)
- **Authorized official phone:** (201) 635-1195

## Contact information

- **Practice address:** 750 BLAKE ST, EDWARDSVILLE, KS 66111-1339
- **Practice address phone:** (913) 422-5832
- **Practice address fax:** (913) 441-6223
- **Mailing address:** 750 BLAKE ST, EDWARDSVILLE, KS 66111-1339
- **Mailing address phone:** (913) 422-5832
- **Mailing address fax:** (913) 441-6223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 09/08/2016
- **Last updated:** 03/28/2017