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Organization

T

Active
Other names
Reflection
Organization subpart
No

Provider details

NPI number
Authorized official
TONYA LINDSEY (PRESIDENT)
(618) 244-7701
Entity
Organization

Contact information

Practice address
813 W CENTER ST, FAIRFIELD, IL 62837-1403
(618) 842-2260
Mailing address
PO BOX 705, MOUNT VERNON, IL 62864-0015
(618) 244-7701

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary

Other

Enumeration date
01/06/2016
Last updated
01/06/2016
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