Organization
GERMANTOWN S D 60
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN RENCH (DIRECTOR)
(618) 532-4721
Entity
Organization
Contact information
Practice address
401 WALNUT, GERMANTOWN, IL 62245
(618) 532-4721
Mailing address
401 WALNUT, GERMANTOWN, IL 62245
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
06/05/2007
Last updated
07/12/2007
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