Olney Estates, LLC

NPI #1598961153 in Olney, Illinois

Provider Information

NPI Number
1598961153
Entity Type
Organization
Organization Name
Olney Estates, LLC
Primary Specialty
Point of Service
Enumeration Date
Jun 21, 2007
Last Updated
May 13, 2008

Practice Location

Address
1110 N EAST ST
City
Olney
ZIP Code
62450-6902
Phone
(618) 293-5870

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Point of Service

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