NPI 1174356471
Comwell
Practice location
- Address
- 207 N James St, Sparta, IL 62286-1213
- Phone
- (618) 282-6233
- Mailing address
- 10257 State Route 3, Red Bud, IL 62278-4418
Authorised official
- Name
- Ashley Renner
- Title
- Billing/Credentialing
- Phone
- (618) 282-6233
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1174356471
- Entity type
- Organization
- NPI issued
- 22 Aug 2024
- Record last updated
- 22 Aug 2024
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.