Stephenson County Senior Center DBA Senior Resource Center

NPI #1760214316 in Freeport, Illinois

Provider Information

NPI Number: 1760214316
Entity Type: Organization
Organization Name: Stephenson County Senior Center DBA Senior Resource Center
Subpart: Yes (part of a larger organization)
Parent Organization: STEPHENSON COUNTY SENIOR CENTER
Primary Specialty: Non-emergency Medical Transport (VAN)
Enumeration Date: Aug 14, 2024
Last Updated: Aug 14, 2024

Practice Location

Address: 216 E STEPHENSON ST
City: Freeport
State: Illinois
ZIP Code: 61032-4214
Phone: (815) 235-9777

Authorized Official

Name: KEVIN COUNTRYMAN
Title: COORDINATOR, SAFETY & TRAINING
Phone: (815) 235-9777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Non-emergency Medical Transport (VAN)	343900000X	Primary

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