Organization
ROANOKE BENSON CUS DIST 60
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN HARTNETT (DIRECTOR)
(309) 367-4901
Entity
Organization
Contact information
Practice address
202 W HIGH STREET, ROANOKE, IL 61561-0320
(309) 367-4901
Mailing address
202 W HIGH STREET, ROANOKE, IL 61561-0320
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
06/05/2007
Last updated
08/22/2020
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