Wilkinson Fountains Lease Co LLC

NPI #1356546212 in Troy, Illinois

Provider Information

NPI Number
1356546212
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
39 DOROTHY DR
City
Troy
ZIP Code
62294-1389
Phone
(618) 667-1342

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Point of Service

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