Organization
AMERICAN HEALTH CORPORATION
Active
Other names
FARMINGTON COUNTRY MANOR
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L WILDER (ADMINISTRATOR)
(309) 245-2407
Entity
Organization
Contact information
Practice address
701 S MAIN ST, FARMINGTON, IL 61531-1460
(309) 245-2407
Mailing address
701 S MAIN ST, FARMINGTON, IL 61531-1460
(309) 245-2407
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
255042D
IL
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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