NPI | 1033140488 |
---|---|
Doing Business As | FAMILY HEALTHCARE CLINIC |
Entity Type | Organization |
Authorized Contact | RIKKI BONTHRON CFO 618-439-3161 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Enumeration Date | 2006-07-05 |
Last Update Date | 2019-02-25 |