Bravo Care Of East Peoria Inc in East Peoria - Parenteral & Enteral Nutrition
Bravo Care Of East Peoria Inc - NPI 1114114873
Bravo Care Of East Peoria Inc is a Parenteral & Enteral Nutrition in East Peoria, Illinois. Bravo Care Of East Peoria Inc practices all healthcare services and medical treatments related to Parenteral & Enteral Nutrition. The NPI Number for Bravo Care Of East Peoria Inc is 1114114873. The last update date is 2017-05-18.
Bravo Care Of East Peoria Inc's current location address is 900 Centennial Dr, East Peoria, Illinois. You can contact this provider via phone number 3096995400. The mailing address for Bravo Care Of East Peoria Inc is 900 Centennial Dr, East Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bravo Care Of East Peoria Inc |
|---|---|
| Address | 900 Centennial Dr, East Peoria, Illinois |
| Phone Number | 3096995400 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AR DIRECTO |
|---|---|
| Authorized Official Name | Savic Aleksandra |
| Telephone Number | 3149949070 |
NPI Number Detail
| NPI Number | 1114114873 |
|---|---|
| Provider Enumeration Date | 2007-09-26 |
| Last Updated Date | 2017-05-18 |
Provider Mailing Address Detail
| Address | 900 Centennial Dr |
|---|---|
| City | East Peoria |
| State | Illinois (IL) |
| Post Code | 616114928 |
| Phone Number | 3096995400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Parenteral & Enteral Nutrition |
|---|---|
| Taxonomy | 332Bp3500X |
|
Definition: Durable medical equipment and supplies for tube feeding and intravenous nutritional support prescribed by providers. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Bravo Care Of East Peoria Inc by the Centers for Medicare & Medicaid Services?
The Bravo Care Of East Peoria Inc has been issued the NPI (National Provider Identifier) 1114114873, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Bravo Care Of East Peoria Inc is geographically located?
The Bravo Care Of East Peoria Inc is physically situated at the following location: 900 Centennial Dr, East Peoria, IL, 616114928.
What is Bravo Care Of East Peoria Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Bravo Care Of East Peoria Inc is Parenteral & Enteral Nutrition, and the taxonomy classification code that categorizes this area of expertise is 332Bp3500X.
On what date did the Bravo Care Of East Peoria Inc receive the assignment of its 1114114873 from the Centers for Medicare & Medicaid Services?
The Bravo Care Of East Peoria Inc was issued its 1114114873 by the Centers for Medicare & Medicaid Services on 2007-09-26.
When was the information regarding Bravo Care Of East Peoria Inc most recently updated?
The details pertaining to the Bravo Care Of East Peoria Inc, including its address, specialty, and other relevant information, were last refreshed on 2017-05-18.
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