Organization
COUNTY OF COLES
Active
Other names
Denver Developmental Screening
Organization subpart
No
Provider details
NPI number
Authorized official
CATHIE REYNOLDS (DIRECTOR OF NURSING)
(217) 348-0530
Entity
Organization
Contact information
Practice address
825 18TH ST, CHARLESTON, IL 61920-2940
(217) 348-0530
Mailing address
825 18TH ST, CHARLESTON, IL 61920-2940
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
09/22/2010
Last updated
03/08/2011
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