Organization
HEARTLAND HUMAN SERVICES
Active
Organization
HEARTLAND HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON QUANDT (EXECUTIVE DIRECTOR)
(217) 347-7179
Entity
Organization
Contact information
Practice address
1200 N 4TH ST, EFFINGHAM, IL 62401-3032
(217) 347-7179
(217) 342-6716
Mailing address
1200 N 4TH ST, PO BOX 1047, EFFINGHAM, IL 62401-3032
(217) 347-7179
(217) 342-6176
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ITIN001
—
IL
Enumeration date
08/07/2008
Last updated
11/29/2018
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