Organization
JR'S CENTRE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE DIANE MCNEILL B.S. (EXECUTIVE DIRECTOR)
(618) 833-4956
Entity
Organization
Contact information
Practice address
100 FLORSHEIM DR, ANNA, IL 62906-1906
(618) 833-4956
(618) 833-5009
Mailing address
100 FLORSHEIM DR, ANNA, IL 62906-1906
(618) 833-4956
(618) 833-5009
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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