# FAMILY HEALTHCARE CLINIC & REHAB

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215944152
- **Authorized official:** AUGUSTINE EBONG (PRESIDENT/AGENT)
- **Authorized official phone:** (618) 253-8863

## Contact information

- **Practice address:** 701 N COMMERCIAL ST, SUITE 4, HARRISBURG, IL 62946-3335
- **Practice address phone:** (618) 253-8863
- **Practice address fax:** (618) 253-8864
- **Mailing address:** 701 N COMMERCIAL ST, SUITE 4, HARRISBURG, IL 62946-3335
- **Mailing address phone:** (618) 253-8863
- **Mailing address fax:** (618) 253-8864

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 148973 | IL | Yes |

## Other

- **Enumeration date:** 08/02/2006
- **Last updated:** 08/22/2020