Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DEMINGO COLLINS
Active Sole ProprietorMR. DEMINGO COLLINS is a Emotionally Disturbed Children Residential Treatment healthcare provider located in O FALLON, Illinois. NPI 1518724673 is currently active in the NPPES registry. Verify at CMS.
Emotionally Disturbed Children Residential Treatment · O FALLON, IL
Registration Details
- NPI Number
- 1518724673
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 4, 2024 (2.4921284257402 yrs)
- Last Updated
- Mar 4, 2024
- License
-
202400006C (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
613 LAURELWOOD CTO FALLON, IL, 622697064Browse IL providers · Browse ZIP 62269
- Phone
- 7028751766
- Primary Specialty
-
Emotionally Disturbed Children Residential Treatment
320900000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.