Heartland Human Services

NPI 1033365275 - Community Based Residential Treatment Facility, Mental Illness - 320800000X

NPI Details
NPI 1033365275
Enumeration Date 08/07/2008
Last Updated 06/01/2010
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name CHUCK CHUCK
Position DIRECTOR OF BUSINESS SERVICES
Phone (217) 347-7179
Fax (217) 342-6716
Practice Location
1116 N WENTHE DR
UNIT D
EFFINGHAM IL, 62401-1635, US
Phone (217) 347-7179
Fax (217) 342-6716
Business Location
1200 N 4TH ST
PO BOX 1047
EFFINGHAM IL, 62401-3032, US
Phone (217) 347-7179
Fax (217) 342-6716
Toxanomy
Taxonomy Code 320800000X
License State Illinois
License Number 91S064
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According to our database, Heartland Human Services NPI is 1033365275, taxonomy code is 320800000X and license number is 91S064, license state is located at Illinois. Heartland Human Services physically located at 1116 N Wenthe Dr, Effingham IL, 62401-1635. NPI Number 1033115704 has the healthcare provider type.

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1033365275 NPI number is provided on an as is basis without warranty of any kind. 1033365275 is maintained by the National Plan & Provider Enumeration System. The contents of Heartland Human Services are for informational purposes only.