Organization
GIANT CITY STABLES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RAMONA LYNN TWELLMAN CTRI (OWNER / MBR)
(618) 529-4110
Entity
Organization
Contact information
Practice address
722 GIANT CITY RD, MAKANDA, IL 62958-3200
(618) 529-4110
Mailing address
722 GIANT CITY RD, MAKANDA, IL 62958-3200
(618) 529-4110
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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