Organization · Type 2 NPI

Bravo Care of Peoria Inc

Skilled Nursing Facility · Peoria, IL

NPI number 1194912857 Active

Practice location

1500 W Northmoor Rd
Peoria, IL 61614-3435

Call (309) 691-2200 Map

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000X1854122 (IL)
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500XNone 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 1194912857

Bravo Care of Peoria Inc's National Provider Identifier is 1194912857, issued on Sep 26, 2007. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Peoria, IL. The record was last updated on Dec 1, 2016.