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Organization

WORKSOURCE ENTERPRISES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRANDY SEABAUGH (VP FINANCES AND HUMAN RESOURCES)
(217) 446-1146
Entity
Organization

Contact information

Practice address
3715 N VERMILION ST, DANVILLE, IL 61832-1130
(217) 446-1146
(217) 446-1191
Mailing address
3715 N VERMILION ST, DANVILLE, IL 61832-1130
(217) 446-1146
(217) 446-1191

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3000006
IL
05
7094638
IL
Enumeration date
12/10/2015
Last updated
12/10/2015
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