| NPI | 1558343301 |
|---|---|
| Doing Business As | EDWARDSVILLE NURSING AND REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | BRIAN KNOOTZ Administrator 618-692-1330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2013-10-02 |