Organization
FIRST CAREMERICA
Active
Other names
Collinsville Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL R RILEY (PRESIDENT)
(618) 234-4705
Entity
Organization
Contact information
Practice address
614 N SUMMIT AVE, COLLINSVILLE, IL 62034
(618) 344-8476
(618) 344-8483
Mailing address
2810 FRANK SCOTT PARKWAY WEST, STE 824, BELLEVILLE, IL 62223
(618) 234-9705
(618) 355-0459
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0023309
IL
Other
Enumeration date
04/18/2007
Last updated
08/22/2020
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