Organization
MAPLE LAWN HOMES INC.
Active
Parent organization
MAPLE LAWN HOMES INC.
Other names
Maple Lawn Health Care Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAPLE LAWN HOMES INC.
Authorized official
MR. GARRY L. GUIMOND (CFO)
(309) 467-2337
Entity
Organization
Contact information
Practice address
700 N MAIN ST, EUREKA, IL 61530-1085
(309) 467-2337
(309) 467-9097
Mailing address
700 N MAIN ST, EUREKA, IL 61530-1085
(309) 467-2337
(309) 467-9097
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/13/2007
Last updated
11/13/2007
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