GOLD PLATE PROGRAM OF PERRY COUNTY NPI 1932687944

NPI Information

NPI: 1932687944
Provider Name: GOLD PLATE PROGRAM OF PERRY COUNTY
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
721 N HICKORY ST
DU QUOIN, IL
ZIP 62832
Phone: (618) 542-3511
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GOLD PLATE PROGRAM OF PERRY COUNTY is an adult day care clinic center in Du Quoin, IL. GOLD PLATE PROGRAM OF PERRY COUNTY NPI is 1932687944. The provider is registered as an organization entity type.

The provider's business location address is:

721 N HICKORY ST
DU QUOIN, IL
ZIP 62832
Phone: (618) 542-3511
Fax: (618) 542-2566

The provider's authorized official is Tammy Jean Asbury .
The authorized official title is Executive Director and has the following contact phone number (618) 542-3511.

The enumeration date for this NPI number is 8/1/2018 and was last updated on 8/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	253Z00000X	In Home Supportive Care				No
2	261QA0600X	Clinic/Center	Adult Day Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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