| NPI | 1023011079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY JOHN SLEETER Administrator 815-467-1905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: IL 1011673) |
| Additional Taxonomies | 251E00000X Home Health (Licence: IL 1008614) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2014-12-12 |