National Provider Identifier Database

WEST CENTRAL ILLINOIS NUTRITION
Meals

A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.


Contact Information

WEST CENTRAL ILLINOIS NUTRITION
639 YORK ST. ROOM 333
QUINCY, IL62301
Phone: 217-592-3657
Fax: 217-592-3761
Website:
Specialty Taxonomy Code
* Meals 174200000X
In Home Supportive Care 253Z00000X

* Indicates primary specialty

NPI Profile & details for WEST CENTRAL ILLINOIS NUTRITION

NPI Number 1043851488
Legal business name
LBN
WEST CENTRAL ILLINOIS NUTRITION
Authorized official KIMBERLY THOMPSON - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 10/07/2019
Last updated 10/23/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for WEST CENTRAL ILLINOIS NUTRITION

There are currently no reviews for WEST CENTRAL ILLINOIS NUTRITION


NPIdb - Home
v2.201