Organization
BOND COUNTY SENIOR CITIZENS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNA M DESTREICH (EXECUTIVE DIRECTOR)
(618) 664-1465
Entity
Organization
Contact information
Practice address
305 S THIRD ST, GREENVILLE, IL 62246
(618) 664-1465
(618) 664-1478
Mailing address
305 S THIRD ST, GREENVILLE, IL 62246
(618) 664-1465
(618) 664-1478
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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