| NPI | 1043684376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE CHRISTOPHER MILLER President/Owner 217-318-3396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: IL 2015-N1386) |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2015-11-24 |