Organization
COUNTY OF GREENE
Active
Other names
Greene County Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MOLLY PETERS B.S., L.E.H.P (ADMINISTRATOR)
(217) 942-6961
Entity
Organization
Contact information
Practice address
310 5TH ST, CARROLLTON, IL 62016-1325
(217) 942-6961
(217) 942-3904
Mailing address
310 5TH ST, CARROLLTON, IL 62016-1325
(217) 942-6961
(217) 942-3904
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1001452
IL
251E00000X
Home Health Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9626
BC/BS OF ILLINOIS
IL
Enumeration date
07/21/2005
Last updated
02/10/2020
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