NPI 1003003765
Bravo Care of Rockford INC
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
Parenteral & Enteral Nutrition Supplies (DME)
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.