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Lawrence Community Healthcare
Private Vehicle in Bridgeport, Illinois
NPI 1801048855

Lawrence Community Healthcare is a Private Vehicle based in Bridgeport, IL. Lawrence Community Healthcare practices in Bridgeport, IL. The NPI Number for Lawrence Community Healthcare is 1801048855 and holds a License No. 0045617 (Illinois).

The current practice location address for Lawrence Community Healthcare is 900 Corporation Line St, Bridgeport, IL and can be reached out via phone at 618-945-2091.

Location: 900 Corporation Line St, Bridgeport, IL, 62417-2206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801048855
Provider Name
Lawrence Community Healthcare
Credential
Provider Entity Type
Organization
Address
900 Corporation Line St, Bridgeport, IL, 62417-2206
Phone Number
618-945-2091
Fax Number
Provider Enumeration Date
10/21/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
900 Corporation Line St
City
Bridgeport
State
Illinois
Zip
62417-2206
Phone Number
618-945-2091
Fax Number
person
Provider Business Mailing Address Details
Address
900 Corporation Line St
City
Bridgeport
State
Illinois
Zip
62417-2206
Phone Number
618-945-2091
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
0045617 (Illinois)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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