Organization
NORTHLAND HEARING CENTERS, INC.
Active
Other names
Northland Hearing Centers, Inc. dba Family Care Hearing Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES LEWIS LAYTART (CREDENTIALING SPECIALIST)
(952) 915-6248
Entity
Organization
Contact information
Practice address
400 W CLARK AVE STE 107, EFFINGHAM, IL 62401-2689
(217) 347-7204
(217) 347-9409
Mailing address
6700 WASHINGTON AVE S, EDEN PRAIRIE, MN 55344-3405
(612) 351-1529
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
11/29/2007
Last updated
07/19/2019
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