Mason's Place Too, LLC
NPI #1750066981 in Fairview Heights, Illinois
Provider Information
- NPI Number
- 1750066981
- Entity Type
- Organization
- Organization Name
- Mason's Place Too, LLC
- Primary Specialty
- Clinic/Center - Developmental Disabilities
- Enumeration Date
- Jun 15, 2023
- Last Updated
- Jun 15, 2023
Practice Location
- Address
- 125 N RUBY LN # 2
- City
- Fairview Heights
- State
- Illinois
- ZIP Code
- 62208-1926
- Phone
- (618) 489-1129
Authorized Official
- Name
- TRENA MCCOY
- Title
- CEO/PARTNER
- Phone
- (618) 489-1129
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Developmental Disabilities — Developmental Disabilities |
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