Organization
THE ESTHER SERVICES PROJECT OF SO IL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA M SMITH (OWNER/EX DIRECTOR)
(618) 572-8234
Entity
Organization
Contact information
Practice address
105 EAST ST, XENIA, IL 62899-1274
(618) 572-8234
(618) 801-1442
Mailing address
105 EAST ST, XENIA, IL 62899-1274
(618) 572-8234
(618) 801-1442
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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