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Organization

SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP

Active
Other names
Shawnee Health Service and Development Corp IHH
Organization subpart
No

Provider details

NPI number
Authorized official
PATSY R JENSEN (CEO)
(618) 985-8221
Entity
Organization

Contact information

Practice address
109 CALIFORNIA ST, CARTERVILLE, IL 62918-1923
(618) 519-9200
Mailing address
109 CALIFORNIA ST, PO BOX 577, CARTERVILLE, IL 62918-0577
(618) 519-9200
(618) 985-4635

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
09/05/2018
Last updated
09/27/2018
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