Edwardsville Operator, LLC
NPI #1487203444 in Edwardsville, Kansas
Provider Information
- NPI Number
- 1487203444
- Entity Type
- Organization
- Organization Name
- Edwardsville Operator, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 11, 2019
- Last Updated
- Sep 11, 2019
Practice Location
- Address
- 751 BLAKE ST
- City
- Edwardsville
- State
- Kansas
- ZIP Code
- 66111-1338
- Phone
- (813) 441-1900
Authorized Official
- Name
- STUART LINDEMAN
- Title
- PRESIDENT AND CEO
- Phone
- (813) 280-1333
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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