MR. Demingo Collins

NPI #1518724673 in O Fallon, Illinois

Provider Information

NPI Number
1518724673
Entity Type
Individual
Name
MR. Demingo Collins
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Mar 4, 2024
Last Updated
Mar 4, 2024

Practice Location

Address
613 LAURELWOOD CT
ZIP Code
62269-7064
Phone
(702) 875-1766

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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