Organization
POPE COUNTY CARE HOME INC
Active
Other names
POPE COUNTY CARE CENTER INC
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER W BAGLEY (CONTROLLER)
(618) 549-8331
Entity
Organization
Contact information
Practice address
216 E ROSALIE STREET, GOLCONDA, IL 62938
(618) 683-7711
(618) 683-7721
Mailing address
216 E ROSALIE STREET, GOLCONDA, IL 62938
(618) 683-7711
(618) 683-7721
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/15/2007
Last updated
05/11/2012
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