Organization
MERCY REHAB AND CARE CENTER, INC.
Active
Other names
Rosewood Care Center of Swansea
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY VANDER MATEN (PRESIDENT)
(314) 548-2250
Entity
Organization
Contact information
Practice address
100 ROSEWOOD VILLAGE DR, SWANSEA, IL 62226-2301
(618) 236-1391
Mailing address
11861 WESTLINE INDUSTRIAL DR, SUITE 150, SAINT LOUIS, MO 63146-3305
(314) 548-2250
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0032680
IL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
1303590001
IL
Other
Enumeration date
06/17/2005
Last updated
02/16/2017
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