Shawnee Health Service and Development Corp
NPI #1639651706 in Carterville, Illinois
Provider Information
- NPI Number
- 1639651706
- Entity Type
- Organization
- Organization Name
- Shawnee Health Service and Development Corp
- Primary Specialty
- Case Management
- Enumeration Date
- Sep 5, 2018
- Last Updated
- Sep 27, 2018
Practice Location
- Address
- 109 CALIFORNIA ST
- City
- Carterville
- State
- Illinois
- ZIP Code
- 62918-1923
- Phone
- (618) 519-9200
Authorized Official
- Name
- PATSY R JENSEN
- Title
- CEO
- Phone
- (618) 985-8221
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Management |
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