St. John's Healing Community Board
NPI #1083190920 in Edwardsville, Illinois
Provider Information
- NPI Number
- 1083190920
- Entity Type
- Organization
- Organization Name
- St. John's Healing Community Board
- Primary Specialty
- Clinic/Center - Adult Day Care
- Enumeration Date
- Jul 13, 2018
- Last Updated
- Jul 13, 2018
Practice Location
- Address
- 1015B CENTURY DR
- City
- Edwardsville
- State
- Illinois
- ZIP Code
- 62025-3772
- Phone
- (618) 656-7090
Authorized Official
- Name
- MRS. NANCY JO BERRY
- Title
- EXECUTIVE DIRECTOR
- Phone
- (618) 344-5008
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Day Care — Adult Day Care |
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