OS
O'FALLON SURGICAL CENTER, LLC
Adult Day Care
OIG CLEARMEDICARE ACTIVE
Location
O FALLON, IL
Licensed since
2019
Rate
—
Federal identifiers
NPI registry number1770042111
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients667
RevalidationDue 2024-06-30
Authorized official
NameSHAKEEL AHMED
TitleOWNER
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