NPI | 1205230844 |
---|---|
Doing Business As | CARLE AT TUSCOLA |
Entity Type | Organization |
Authorized Contact | HARRY BROCKUS CEO 217-283-8540 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Enumeration Date | 2014-10-10 |
Last Update Date | 2014-10-10 |