Organization
SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC.
Active
Other names
SIHF Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY MCCULLEY (CEO)
(618) 332-0694
Entity
Organization
Contact information
Practice address
2041 GOOSE LAKE RD, SAUGET, IL 62206-2822
(618) 332-0953
Mailing address
2041 GOOSE LAKE RD, SAUGET, IL 62206-2822
(618) 332-0953
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/06/2018
Last updated
12/07/2018
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