Organization · Type 2 NPI

Bravo Care of East Peoria Inc

Skilled Nursing Facility · East Peoria, IL

NPI number 1114114873 Active

Practice location

900 Centennial Dr
East Peoria, IL 61611-4928

Call (309) 699-5400 Map

Mailing address

11701 Borman Dr Ste 315
St. Louis, MO 63146-4194

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	1854124 (IL)
Parenteral & Enteral Nutrition Supplies (DME)	332BP3500X	None listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1114114873

Bravo Care of East Peoria Inc's National Provider Identifier is 1114114873, issued on Sep 26, 2007. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in East Peoria, IL. The record was last updated on May 18, 2017.