| NPI | 1215978127 |
|---|---|
| Doing Business As | CARBONDALE CARE A VAN |
| Entity Type | Organization |
| Authorized Contact | IRIS WESLEY C.E.O. 217-545-8137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2022-05-03 |