Organization · Type 2 NPI
Mobilemogulruralhealthclinic
Rural Health Clinic/Center · Ingleside, IL
NPI number
1659190700
Active
Practice location
35236 N Wilson Rd
Ingleside, IL 60041
Mailing address
PO Box 70
Fairfield, CA 94533-0006
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | None listed |
| Nutrition Education Nutritionist | 133NN1002X | None listed |
| Registered Dietetic Technician | 136A00000X | None listed |
| Meals Provider | 174200000X | None listed |
| Home Health Agency | 251E00000X | None listed |
| In Home Supportive Care Agency | 253Z00000X | None listed |
| Rural Health Clinic/Center Primary | 261QR1300X | None listed |
| Taxi | 344600000X | None listed |
| Home Health Aide | 374U00000X | None listed |
| Respite Care | 385H00000X | None listed |
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | None listed |
Rural Health Clinic/Center: Definition to come...
About NPI 1659190700
Mobilemogulruralhealthclinic's National Provider Identifier is 1659190700, issued on Oct 7, 2024. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Ingleside, IL. The record was last updated on Oct 7, 2024.