Individual
MR. DEMINGO COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
613 LAURELWOOD CT, O FALLON, IL 62269-7064
(702) 875-1766
Mailing address
613 LAURELWOOD CT, O FALLON, IL 62269-7064
(702) 875-1766
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
202400006C
IL
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us