Organization · Type 2 NPI
Mitchell-Jerdan Funeral Home Ltd
Land Ambulance · Mattoon, IL
NPI number
1245453190
Active
Practice location
1200 Wabash Ave
Mattoon, IL 61938-4142
Fax (217) 258-0786
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Land Ambulance Primary | 3416L0300X | 66792 (IL) |
Land Ambulance: Definition to come...
About NPI 1245453190
Mitchell-Jerdan Funeral Home Ltd's National Provider Identifier is 1245453190, issued on Apr 10, 2007. The primary taxonomy on file is Land Ambulance (3416L0300X), and the practice location is in Mattoon, IL. The record was last updated on Mar 13, 2012.