Unit 4466 Sycamore Hall Upper

NPI 1437281292 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1437281292
Enumeration Date 03/09/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name BRUCE BRUCE
Position REIMBURSEMENT OFFICER II
Phone (618) 833-5161
Fax
Practice Location
1000 N MAIN ST
ANNA IL, 62906-1652, US
Phone (618) 833-5161
Fax
Business Location
1000 N MAIN ST
ANNA IL, 62906-1652, US
Phone (618) 833-5161
Fax
Toxanomy
Taxonomy Code 320600000X
License State
License Number
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According to our database, Unit 4466 Sycamore Hall Upper NPI is 1437281292, taxonomy code is 320600000X Unit 4466 Sycamore Hall Upper physically located at 1000 N Main St, Anna IL, 62906-1652. NPI Number 1033115704 has the healthcare provider type.

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1437281292 NPI number is provided on an as is basis without warranty of any kind. 1437281292 is maintained by the National Plan & Provider Enumeration System. The contents of Unit 4466 Sycamore Hall Upper are for informational purposes only.