Unit 4467 Cottage Complex

NPI 1457483240 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1457483240
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
Remove 1457483240 NPI Number
 

According to our database, Unit 4467 Cottage Complex NPI is 1457483240, taxonomy code is 320600000X Unit 4467 Cottage Complex physically located at 1000 N Main St, Anna IL, 62906-1652. NPI Number 1033115704 has the healthcare provider type.

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1457483240 NPI number is provided on an as is basis without warranty of any kind. 1457483240 is maintained by the National Plan & Provider Enumeration System. The contents of Unit 4467 Cottage Complex are for informational purposes only.