| NPI | 1003059908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELMORE W SNYDER Administrator 217-789-1734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: IL 1003045) |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2009-04-08 |