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Organization
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
Active
Organization
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
Active
Other names
Shawnee Health Service and Development Corp IHH
Organization subpart
No
Provider details
NPI number
Authorized official
PATSY R JENSEN (CEO)
(618) 985-8221
Entity
Organization
Contact information
Practice address
109 CALIFORNIA ST, CARTERVILLE, IL 62918-1923
(618) 519-9200
Mailing address
109 CALIFORNIA ST, PO BOX 577, CARTERVILLE, IL 62918-0577
(618) 519-9200
(618) 985-4635
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/05/2018
Last updated
09/27/2018
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