Edwardsville Care Center, LLC

NPI #1518475524 in Edwardsville, Illinois

Provider Information

NPI Number
1518475524
Entity Type
Organization
Organization Name
Edwardsville Care Center, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jan 12, 2018
Last Updated
Jan 12, 2018

Practice Location

Address
401 SAINT MARYS DR
ZIP Code
62025-4276
Phone
(618) 692-1330

Authorized Official

Name
MR. MAKHLOUF SUISSA
Title
MANAGER/MEMBER OF LLC
Phone
(917) 744-8688

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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