NPI 1073762290
County of Logan
Practice location
- Address
- 109 3rd St, Lincoln, IL 62656-2604
- Phone
- (217) 735-2317
- Fax
- (217) 732-6943
- Mailing address
- 109 3rd St P.O. Box 508, Lincoln, IL 62656-2604
Authorised official
- Name
- Kara Ann Davis
- Title
- Director of Nursing/Assistant Admin
- Phone
- (217) 735-2317
Registered specialties
Public Health or Welfare Agency
Primary
Registry record
- NPI
- 1073762290
- Entity type
- Organization
- NPI issued
- 11 Sep 2008
- Record last updated
- 19 Oct 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.