NPI 1659745503

Ucp Land of Lincoln

Organisation Child Intellectual and/or Developmental Disabilities Respite Care Springfield, IL

Practice location

Address: 101 N 16th St, Springfield, IL 62703-1101
Phone: (217) 525-6522
Fax: (217) 525-9017

Authorised official

Name: Brenda L Yarnell
Title: President/Ceo
Phone: (217) 525-6522

Registered specialties

Child Intellectual and/or Developmental Disabilities Respite Care Primary

Respite Care Facility Taxonomy 385HR2060X

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Registry record

NPI: 1659745503
Entity type: Organization
NPI issued: 16 Nov 2015
Record last updated: 16 Nov 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.