Organization
M&T GROUP LLC
Active
Other names
Central Illinois Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BREMERKAMP (OWNER / PRESIDENT)
(314) 439-6354
Entity
Organization
Contact information
Practice address
1901 S 4TH ST STE 4, EFFINGHAM, IL 62401-4188
(314) 439-6354
Mailing address
215 FALLING LEAVES CT, SAINT LOUIS, MO 63141-7404
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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