Wilkinson Fountains Lease Co LLC
NPI #1194920058 in Belleville, Illinois
Provider Information
- NPI Number
- 1194920058
- Entity Type
- Organization
- Organization Name
- Wilkinson Fountains Lease Co LLC
- Primary Specialty
- Point of Service
- Enumeration Date
- Jun 19, 2007
- Last Updated
- Jun 19, 2008
Practice Location
- Address
- 1201 HARTMAN LN
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62221-8402
- Phone
- (608) 239-9282
Authorized Official
- Name
- MR. JOHN HOLTZ
- Title
- CONTROLLER
- Phone
- (541) 747-3373
Specialties & Taxonomy Codes
| Specialty |
|---|
| Point of Service |
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