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Contact Information

BRAVO CARE OF EAST PEORIA INC
900 CENTENNIAL DR
EAST PEORIA, IL61611-4928
 Phone: 309-699-5400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for BRAVO CARE OF EAST PEORIA INC

NPI Number 1114114873
LBN Legal business name BRAVO CARE OF EAST PEORIA INC
Authorized official ALEKSANDRA SAVIC - (AR DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/26/2007
Last updated 05/18/2017 - About 9 years ago
Identifiers
IL License # 1854124
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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