St. Marys Health Care Center Investors LLC

NPI #1558343301 in Edwardsville, Illinois

Provider Information

NPI Number
1558343301
Entity Type
Organization
Organization Name
St. Marys Health Care Center Investors LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Nov 17, 2005
Last Updated
Oct 2, 2013

Practice Location

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

Authorized Official

Name
MR. BRIAN KNOOTZ
Title
ADMINISTRATOR
Phone
(618) 692-1330

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility
Skilled Nursing Facility

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