| NPI | 1013494624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOI NICOLE SIRMONS CEO 618-960-5084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider (Licence: IL 3001568) |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2018-11-30 |