| NPI | 1043212103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY KAY SHEEHAN CEO 815-740-4104 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: IL 0722000339) |
| Additional Taxonomies | 315D00000X Hospice, Inpatient (Licence: IL 0722000340) |
| 363L00000X Nurse Practitioner | |
| 385H00000X Respite Care | |
| Enumeration Date | 2005-06-02 |
| Last Update Date | 2024-07-03 |