Organization
MULLIN MEMORIAL HEALTH SERVICES LLC
Active
Other names
MULLIN MEMORIAL RURAL HEALTH CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY L DESALLE FNP (OWNER)
(815) 445-2273
Entity
Organization
Contact information
Practice address
320 SOUTH SECOND ST, MANLIUS, IL 61338-0324
(815) 445-2273
(815) 445-2213
Mailing address
320 SOUTH SECOND ST, MANLIUS, IL 61338-0324
(815) 445-2273
(815) 445-2213
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/13/2006
Last updated
08/22/2020
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