Organization
UCP LAND OF LINCOLN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA L YARNELL PHD (PRESIDENT/CEO)
(217) 525-6522
Entity
Organization
Contact information
Practice address
101 N 16TH ST, SPRINGFIELD, IL 62703-1101
(217) 525-6522
(217) 525-9017
Mailing address
101 N 16TH ST, SPRINGFIELD, IL 62703-1101
(217) 525-6522
(217) 525-9017
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
11/16/2015
Last updated
11/16/2015
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