| NPI | 1336436765 |
|---|---|
| Doing Business As | MDH CONVENIENT CARE |
| Entity Type | Organization |
| Authorized Contact | KENNETH BOYD CEO 309-833-4101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: IL 0001438) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2011-07-06 |