| NPI | 1053637264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY M WERDERITS President 309-828-1516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: IL 3000131) |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2010-04-13 |