LONG CREEK MEDICAL LLC

DECATUR, IL
NPI1871345165
Entity TypeOrganization
Authorized ContactJENNIFER SHAWN MAHANNAH
Owner
217-519-3203
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2024-04-02
Last Update Date2024-10-10
Business Address
LONG CREEK MEDICAL LLC
2550 S 70TH ST
DECATUR, IL 62521-8742
Phone number: 217-330-0407
Mailing Address
LONG CREEK MEDICAL LLC
2550 S 70TH ST
DECATUR, IL 62521-8742
Phone number: 217-330-0407
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