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Organization

MACON RESOURCES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGIE NEELEY (EXECUTIVE DIRECTOR)
(217) 429-1052
Entity
Organization

Contact information

Practice address
2715 N 27TH ST, DECATUR, IL 62526-2171
(217) 429-1052
(217) 423-7605
Mailing address
2715 N. 27TH ST., DECATUR, IL 62526
(217) 429-1052
(217) 423-7605

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
IL

Other

Enumeration date
01/04/2007
Last updated
02/18/2015
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