Organization · Type 2 NPI
Gold Plate Program of Perry County
Adult Day Care Clinic/Center · Du Quoin, IL
NPI number
1932687944
Active
Practice location
721 N Hickory St
Du Quoin, IL 62832
Fax (618) 542-2566
Mailing address
PO Box 345
Du Quoin, IL 62832-0345
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | None listed |
| Adult Day Care Clinic/Center Primary | 261QA0600X | None listed |
Adult Day Care Clinic/Center: Definition to come...
About NPI 1932687944
Gold Plate Program of Perry County's National Provider Identifier is 1932687944, issued on Aug 1, 2018. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Du Quoin, IL. The record was last updated on Aug 16, 2018.