Organization
INDEPENDENT ORDER OF ODD FELLOWS
Active
Other names
Odd Fellow Rebekah Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL L CURRY (EX. VP & CFO)
(309) 823-7164
Entity
Organization
Contact information
Practice address
201 LAFAYETTE AVE E, MATTOON, IL 61938-4641
(217) 235-5449
(217) 235-0611
Mailing address
201 LAFAYETTE AVE E, MATTOON, IL 61938-4641
(217) 235-5449
(217) 235-0611
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0010223
IL
332BX2000X
Oxygen Equipment & Supplies (DME)
0010223
IL
Other
Enumeration date
11/01/2005
Last updated
11/14/2024
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