Organization
MALCOLM EATON ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAROL D SHERMAN ANDERSON (BUSINESS MANAGER)
(815) 235-7181
Entity
Organization
Contact information
Practice address
570 W LAMM RD, FREEPORT, IL 61032-9629
(815) 235-7181
(815) 235-7180
Mailing address
570 W LAMM RD, FREEPORT, IL 61032-9629
(815) 235-7181
(815) 235-7180
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
95C002
IL
Other
Enumeration date
05/12/2006
Last updated
08/22/2020
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