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Moultrie Co
Public Health or Welfare Agency in Sullivan, Illinois
NPI 1538213285

Moultrie Co is a Public Health or Welfare Agency based in Sullivan, IL. Moultrie Co practices in Sullivan, IL. The NPI Number for Moultrie Co is 1538213285 and holds a License No. (Illinois).

The current practice location address for Moultrie Co is 202 S Main St, Sullivan, IL and can be reached out via phone at 217-728-4114 and via fax at 217-728-2650.

Location: 202 S Main St, Sullivan, IL, 61951-1958
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538213285
Provider Name
Moultrie Co
Credential
Provider Entity Type
Organization
Address
202 S Main St, Sullivan, IL, 61951-1958
Phone Number
217-728-4114
Fax Number
217-728-2650
Provider Enumeration Date
01/22/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
240000139001 05 IL
institution
Provider Business Practice Location Address Details
Address
202 S Main St
City
Sullivan
State
Illinois
Zip
61951-1958
Phone Number
217-728-4114
Fax Number
217-728-2650
person
Provider Business Mailing Address Details
Address
202 S Main St
City
Sullivan
State
Illinois
Zip
61951-1958
Phone Number
217-728-4114
Fax Number
217-728-2650
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Public Health or Welfare
Speciality
-
Taxonomy
251K00000X
License No.
()
Definition
Definition to come...
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