Epilepsy Foundation of Greater Southern Illinois
NPI #1215302583 in Belleville, Illinois
Provider Information
- NPI Number
- 1215302583
- Entity Type
- Organization
- Organization Name
- Epilepsy Foundation of Greater Southern Illinois
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Dec 11, 2015
- Last Updated
- Dec 11, 2015
Practice Location
- Address
- 3515 N BELT W
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62226-5944
- Phone
- (618) 236-2181
Authorized Official
- Name
- TRUDY L BAXTER
- Title
- EXECUTIVE DIRECTOR
- Phone
- (618) 236-2181
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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