NPI | 1073008363 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLY WHISTLER Owner 224-595-7221 |
Organization Subpart ? | No |
Primary Taxonomy | 251J00000X Nursing Care (Licence: IL 4000556) |
Additional Taxonomies | 251E00000X Home Health (Licence: IL HF114153) |
251E00000X Home Health (Licence: IL 4000556) | |
251J00000X Nursing Care (Licence: IL HF114153) | |
Enumeration Date | 2018-06-28 |
Last Update Date | 2021-09-02 |