S&C Enterprise
Early Intervention Provider Agency in Lansing, IL. Organization (NPI-2).
NPI number1881922011
StatusActive
Last updated in NPPESNov 30, 2009
Details
- NPI
- 1881922011
- Entity type
- Organization (NPI-2)
- Legal business name
- S&C Enterprise
- Organization subpart
- No
- Enumeration date
- Nov 30, 2009
- Last updated
- Nov 30, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | – | – | Yes |
| 251E00000X | Home Health | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Practice location
17842 Park AveLansing, IL 60438-1937
Phone 708-474-8433
Mailing address
17842 Park AveLansing, IL 60438-1937
Phone 708-474-8433
Authorized official
Clyde Payne
Director
7084748433
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