Comwell

NPI #1174356471 in Sparta, Illinois

Provider Information

NPI Number: 1174356471
Entity Type: Organization
Organization Name: Comwell
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Aug 22, 2024
Last Updated: Aug 22, 2024

Practice Location

Address: 207 N JAMES ST
City: Sparta
State: Illinois
ZIP Code: 62286-1213
Phone: (618) 282-6233

Authorized Official

Name: ASHLEY RENNER, AM
Title: BILLING/CREDENTIALING
Phone: (618) 282-6233

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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