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Organization

MIDWEST CARE HARRISBURG, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HOWARD KANG (VP OF FINANCE AND ACCOUNTING)
(541) 747-3373
Entity
Organization

Contact information

Practice address
165 RON MORSE DR, HARRISBURG, IL 62946-5298
(618) 253-5870
Mailing address
78 CENTENNIAL LOOP, EUGENE, OR 97401-7900
(541) 747-3373

Taxonomy

Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary

Other

Enumeration date
09/24/2009
Last updated
09/24/2009
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