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Organization
MULBERRY MANOR, INC.
Active
Organization
MULBERRY MANOR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANN KELLER (ADMINISTRATOR)
(618) 833-6012
Entity
Organization
Contact information
Practice address
612 E DAVIE, ANNA, IL 62906-0088
(618) 833-6012
Mailing address
PO BOX 88, ANNA, IL 62906-0088
(618) 833-6012
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
IL
Other
Enumeration date
04/13/2007
Last updated
08/22/2020
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