Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Voluntary or Charitable |
251V00000X | 61 | Voluntary Health or Charitable Agency[1] | |
Community/Behavioral Health |
251S00000X |
| NPI # | 1962218834 |
| LBN Legal business name | FEDERACION DE CLUBES MICHOACANOS EN ILLINOIS |
| Authorized official | ARIANA GARFIAS - (ASSOCIATE DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/05/2024 |
| Last updated | 12/05/2024 - More than a year ago |
| Identifiers | n/a |
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