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Contact Information

JULIE WILLIAMS
3 EAGLE CREST COURT
COLUMBIA, IL62236
 Phone: 618-281-2252
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for

NPI Number 1134455991
Entity Organization
Organization subpart 1 Not specified
Enumeration date 10/28/2009
Last updated 10/28/2009 - About 17 years ago
Identifiers
MO License # 090987
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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