Organization
AMY WEASEL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY JO WEASEL ADN (RN)
(618) 384-2236
Entity
Organization
Contact information
Practice address
707 MAPLE ST, CARMI, IL 62821-1030
(618) 384-2236
(618) 384-2236
Mailing address
707 MAPLE ST, CARMI, IL 62821-1030
(618) 384-2236
(618) 384-2236
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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