Organization
KASKASKIA WORKSHOP, INC.
Active
Organization
KASKASKIA WORKSHOP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG SHAVER (DIRECTOR)
(618) 533-4423
Entity
Organization
Contact information
Practice address
299 SWAN AVE, CENTRALIA, IL 62801-6127
(618) 548-1878
(618) 548-1679
Mailing address
299 SWAN AVE, PO BOX 1946, CENTRALIA, IL 62801-6127
(618) 548-1878
(618) 548-1679
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/27/2010
Last updated
08/27/2010
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