NPI | 1801048855 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRI L FRIZZI Assistant Administrator 618-945-2091 |
Organization Subpart ? | No |
Primary Taxonomy | 347C00000X Private Vehicle (Licence: IL 0045617) |
Enumeration Date | 2008-10-21 |
Last Update Date | 2008-10-21 |