Organization
BRAVO CARE OF EDWARDSVILLE INC
Active
Other names
Rosewood Care Center of Edwardsville
Organization subpart
No
Provider details
NPI number
Authorized official
ALEKSANDRA SAVIC (AR DIRECTOR)
(314) 994-9070
Entity
Organization
Contact information
Practice address
6277 CENTER GROVE RD, EDWARDSVILLE, IL 62025-3309
(618) 659-0605
Mailing address
11701 BORMAN DR STE 315, SAINT LOUIS, MO 63146-4194
(314) 994-9070
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
IL
Other
Enumeration date
09/26/2007
Last updated
12/01/2016
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