Organization
RESPITE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OHALETE CHIOMA (RESPITE CLINICIAN)
(217) 373-2428
Entity
Organization
Contact information
Practice address
502 N MARKET ST, CHAMPAIGN, IL 61820-3634
(217) 373-2428
Mailing address
502 N MARKET ST, CHAMPAIGN, IL 61820-3634
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
11/20/2007
Last updated
11/20/2007
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