Organization
HEALING MANTLE, LLC
Active
Organization
HEALING MANTLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INA MEDINA WILLIAMS RN (MANAGING MEMBER)
(217) 318-1860
Entity
Organization
Contact information
Practice address
5117 JACKS BLVD, CHAMPAIGN, IL 61822-3656
(217) 318-1860
Mailing address
5117 JACKS BLVD, CHAMPAIGN, IL 61822-3656
(217) 318-1860
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
08/04/2025
Last updated
09/24/2025
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