Organization
JEFFERSON COUNTY
Active
Other names
Jefferson County
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA MCDERMOTT (ASSISTANT ADMINISTRATOR)
(618) 244-7134
Entity
Organization
Contact information
Practice address
4102 S WATER TOWER PL, MOUNT VERNON, IL 62864-6544
(618) 244-7134
(618) 244-2640
Mailing address
4102 S WATER TOWER PL, MOUNT VERNON, IL 62864-6544
(618) 244-7134
(618) 244-2640
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
IL
Other
Enumeration date
03/19/2007
Last updated
10/30/2024
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