Whalio Doctors

NPI 1003003765

Bravo Care of Rockford INC

Organisation Skilled Nursing Facility Rockford, IL

Practice location

Address
1660 S Mulford Rd, Rockford, IL 61108-6760
Phone
(815) 397-8700
Mailing address
11701 Borman Dr STE 315, Saint Louis, MO 63146-4194

Authorised official

Name
Aleksandra Savic
Title
Ar Director
Phone
(314) 994-9070

Registered specialties (2)

Skilled Nursing Facility Primary
Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 1854120 (IL)
Parenteral & Enteral Nutrition Supplies (DME)
Suppliers Taxonomy 332BP3500X

Registry record

NPI
1003003765
Entity type
Organization
NPI issued
26 Sep 2007
Record last updated
1 Dec 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.