Organization
EDWARDSVILLE NH LLC
Active
Other names
River Crossing of Edwardsville
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MASON (PRESIDENT)
(813) 347-7425
Entity
Organization
Contact information
Practice address
6277 CENTER GROVE RD, EDWARDSVILLE, IL 62025-3309
(618) 659-0605
(618) 659-0627
Mailing address
6277 CENTER GROVE RD, EDWARDSVILLE, IL 62025-3309
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/29/2016
Last updated
06/25/2021
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