Organization
PAM RODELY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAM RODELY PATH CERTIFIED (INSTRUCTOR)
(618) 607-4110
Entity
Organization
Contact information
Practice address
830 ROWAN RD, MAKANDA, IL 62958-2849
(618) 303-2700
Mailing address
PO BOX 520, CARTERVILLE, IL 62918-0520
(618) 607-4110
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/26/2024
Last updated
10/15/2024
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