West Central Illinois Nutrition

NPI #1043851488 in Quincy, Illinois

Provider Information

NPI Number
1043851488
Entity Type
Organization
Organization Name
West Central Illinois Nutrition
Primary Specialty
Meals
Enumeration Date
Oct 7, 2019
Last Updated
Oct 23, 2019

Practice Location

Address
639 YORK ST. ROOM 333
City
Quincy
ZIP Code
62301
Phone
(217) 592-3657

Authorized Official

Name
KIMBERLY J THOMPSON, CDM/CFPP
Title
DIRECTOR
Phone
(217) 592-3653

Specialties & Taxonomy Codes

Specialty
In Home Supportive Care
Meals

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