Evercare of Edwardsville LLC
NPI #1528807815 in Edwardsville, Illinois
Provider Information
- NPI Number
- 1528807815
- Entity Type
- Organization
- Organization Name
- Evercare of Edwardsville LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 24, 2024
- Last Updated
- May 24, 2024
Practice Location
- Address
- 401 SAINT MARYS DR
- City
- Edwardsville
- State
- Illinois
- ZIP Code
- 62025-4276
- Phone
- (618) 692-1330
Authorized Official
- Name
- SAM WEINBERGER
- Title
- AUTHORIZED OFFICIAL
- Phone
- (618) 692-1330
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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