Rantoul Estates, LLC

NPI #1700082377 in Rantoul, Illinois

Provider Information

NPI Number
1700082377
Entity Type
Organization
Organization Name
Rantoul Estates, LLC
Primary Specialty
Point of Service
Enumeration Date
Jun 21, 2007
Last Updated
May 13, 2008

Practice Location

Address
300 TWIN LAKES DR
ZIP Code
61866-2663
Phone
(217) 892-5871

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Point of Service

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