Effingham Estates, LLC

NPI #1154527711 in Effingham, Illinois

Provider Information

NPI Number
1154527711
Entity Type
Organization
Organization Name
Effingham Estates, LLC
Primary Specialty
Point of Service
Enumeration Date
Jun 21, 2007
Last Updated
May 13, 2008

Practice Location

Address
1101 N MAPLE ST
ZIP Code
62401-1790
Phone
(217) 347-5871

Authorized Official

Name
MR. JOHN HOLTZ
Title
CONTROLLER
Phone
(541) 747-3373

Specialties & Taxonomy Codes

Specialty
Point of Service

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