Midwest Care Effingham Estates LLC

NPI #1417281353 in Effingham, Illinois

Provider Information

NPI Number: 1417281353
Entity Type: Organization
Organization Name: Midwest Care Effingham Estates LLC
Primary Specialty: Point of Service
Enumeration Date: Sep 24, 2009
Last Updated: Sep 24, 2009

Practice Location

Address: 1101 N MAPLE ST
City: Effingham
State: Illinois
ZIP Code: 62401-1790
Phone: (217) 347-5871

Authorized Official

Name: HOWARD KANG
Title: VP OF ACCOUNTING AND FINANCE
Phone: (541) 747-3373

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Point of Service	305S00000X	Primary

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