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1861561995 NPI number — MACON RESOURECES, INC

NPI Number: 1861561995
Health Care Provider/Practitioner: MACON RESOURECES, INC

Information about “1861561995” NPI (MACON RESOURECES, INC) exists in 1861561995 in HTML format HTML  |  1861561995 in plain Text format TXT  |  1861561995 in PDF (Portable Document Format) PDF  |  1861561995 in an XML format XML  formats.

NPI Number : 1861561995 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1861561995",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MACON RESOURECES, INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2121 HUBBARD AVE",
    "SecondLineMailingAddress": "P.O. BOX 2760",
    "MailingAddressCityName": "DECATUR",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "62526-2876",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "217-875-8889",
    "MailingAddressFaxNumber": "217-875-8899",
    "FirstLinePracticeLocationAddress": "2121 HUBBARD AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DECATUR",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "62526-2876",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "217-875-8889",
    "PracticeLocationAddressFaxNumber": "217-875-8899",
    "EnumerationDate": "11/06/2006",
    "LastUpdateDate": "08/22/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SHELTON",
    "AuthorizedOfficialFirstName": "JANET",
    "AuthorizedOfficialMiddleName": "L",
    "AuthorizedOfficialTitle": "DIRECTOR OF COMM LIVING SERVICES",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "217-875-8889",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251C00000X",
        "TaxonomyName": "Developmentally Disabled Services Day Training Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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