MR. Scott E Stout, LNHA

NPI #1952874075 in Casey, Illinois

Provider Information

NPI Number
1952874075
Entity Type
Individual
Name
MR. Scott E Stout, LNHA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Skilled Nursing Facility
Credential
LNHA
Enumeration Date
Jan 11, 2019
Last Updated
Jan 11, 2019

Practice Location

Address
410 NW 3RD ST
City
Casey
ZIP Code
62420-1014
Phone
(217) 932-4081

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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