Organization
RENAISSANCE CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHERINE J MURPHY MHA (ASST. CONTROLLER)
(217) 637-2794
Entity
Organization
Contact information
Practice address
1675 E ASH ST, CANTON, IL 61520-1510
(309) 647-5631
Mailing address
1675 E ASH ST, CANTON, IL 61520-1510
(309) 647-5631
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
0040295
IL
Other
Enumeration date
11/25/2008
Last updated
11/25/2008
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