Organization
BRAVO CARE OF EAST PEORIA INC
Active
Other names
Rosewood Care Center of East Peoria
Organization subpart
No
Provider details
NPI number
Authorized official
ALEKSANDRA SAVIC (AR DIRECTOR)
(314) 994-9070
Entity
Organization
Contact information
Practice address
900 CENTENNIAL DR, EAST PEORIA, IL 61611-4928
(309) 699-5400
Mailing address
11701 BORMAN DR STE 315, SAINT LOUIS, MO 63146-4194
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1854124
IL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
IL
Other
Enumeration date
09/26/2007
Last updated
05/18/2017
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