Organization
EDWARDSVILLE HEALTH CARE CENTER INVESTORS LLC
Active
Other names
University Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY A WOOD (BUSINESS OFFICE MANAGER)
(618) 656-1081
Entity
Organization
Contact information
Practice address
1095 UNIVERSITY DR, EDWARDSVILLE, IL 62025-3961
(618) 656-1081
(618) 656-7083
Mailing address
1095 UNIVERSITY DR, EDWARDSVILLE, IL 62025-3961
(618) 656-1081
(618) 656-7083
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0046557
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50288
BLUE CROSS BLUE SHIELD
—
01
—
71-00072
UNITED HEALTHCARE
—
Enumeration date
07/26/2005
Last updated
10/01/2013
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