Moultrie County Beacon

NPI #1639356017 in Sullivan, Illinois

Provider Information

NPI Number
1639356017
Entity Type
Organization
Organization Name
Moultrie County Beacon
Primary Specialty
Day Training, Developmentally Disabled Services
Enumeration Date
Jan 28, 2008
Last Updated
Jul 21, 2022

Practice Location

Address
401 W WATER ST
ZIP Code
61951-1883
Phone
(217) 728-7396

Authorized Official

Name
MRS. LINDA KATHY THOMAS, LT 81590803 P
Title
DEVELOPMENTAL THERAPIST
Phone
(217) 728-7396

Specialties & Taxonomy Codes

Specialty
Day Training, Developmentally Disabled Services

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