Organization · Type 2 NPI
St. John's Healing Community Board
Adult Day Care Clinic/Center · Edwardsville, IL
NPI number
1083190920
Active
Practice location
1015B Century Dr
Edwardsville, IL 62025-3772
Mailing address
222 Goethe Ave
Collinsville, IL 62234-3306
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Day Care Clinic/Center Primary | 261QA0600X | None listed |
Adult Day Care Clinic/Center: Definition to come...
About NPI 1083190920
St. John's Healing Community Board's National Provider Identifier is 1083190920, issued on Jul 13, 2018. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Edwardsville, IL. The record was last updated on Jul 13, 2018.