Organization
KREIDER SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRINA O'BRIEN (COMMUNITY SERVICES MANAGER)
(815) 288-6691
Entity
Organization
Contact information
Practice address
500 ANCHOR RD, DIXON, IL 61021-8829
(815) 288-6691
Mailing address
500 ANCHOR RD, DIXON, IL 61021-8829
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
146.008250
IL
Other
Enumeration date
01/23/2009
Last updated
01/23/2009
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