Organization
HOOSIER CARE INC.
Active
Other names
Swann Special Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WYNELL EAKLE BA (CBO AR SPECIALIST)
(815) 625-5820
Entity
Organization
Contact information
Practice address
109 KENWOOD RD, CHAMPAIGN, IL 61821-2905
(217) 356-5164
(217) 356-7873
Mailing address
1050 CHINOE RD, SUITE 350, LEXINGTON, KY 40502-6571
(859) 255-0075
(859) 281-5150
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
0035485
IL
Other
Enumeration date
12/05/2016
Last updated
12/05/2016
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