Penta Nascent Corporation

NPI #1467670109 in Salem, Illinois

Provider Information

NPI Number
1467670109
Entity Type
Organization
Organization Name
Penta Nascent Corporation
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Apr 20, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
301 RODDY RD
City
Salem
ZIP Code
62881-3836
Phone
(618) 548-0353

Authorized Official

Name
GEORGIA MILLER
Title
CEO
Phone
(618) 548-4561

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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