Organization
BRADLEY ROYALE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY VARNAVAS (ADMINISTRATOR)
(815) 933-1666
Entity
Organization
Contact information
Practice address
650 NORTH KINZIE AVENUE, BRADLEY, IL 60915-1227
(815) 933-1666
(815) 933-9866
Mailing address
650 NORTH KINZIE AVENUE, BRADLEY, IL 60915-1227
(815) 933-1666
(815) 933-9866
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0028712
IL
Other
Enumeration date
09/29/2005
Last updated
10/02/2008
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