| NPI | 1316190937 |
|---|---|
| Doing Business As | FARMINGTON COUNTRY MANOR |
| Entity Type | Organization |
| Authorized Contact | JENNIFER L WILDER Administrator 309-245-2407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: IL 255042D) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |